PETER D VAN PATTEN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036087229

License Status

NOT RENEWED

Business

First Name

PETER D

Last Name

VAN PATTEN

Suffix

Business Name

PETER D VAN PATTEN MD

Original Issue Date

08/16/1993

Effective Date

08/16/1993

Expiration Date

07/31/1996

City

SPRINGFIELD

State

Zip

62707

County

SANGAMON

Ever Disciplined

LastModifiedDate

09/20/2006