STEVE A PETERSEN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036088957

License Status

NOT RENEWED

Business

First Name

STEVE A

Last Name

PETERSEN

Suffix

Business Name

STEVE A PETERSEN MD

Original Issue Date

07/13/1994

Effective Date

07/13/1994

Expiration Date

07/31/1999

City

CLARENDON HILLS

State

Zip

60514

County

DUPAGE

Ever Disciplined

LastModifiedDate

10/19/2006