PETER B BACH Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036090946

License Status

NOT RENEWED

Business

First Name

PETER B

Last Name

BACH

Business Name

PETER B BACH

Original Issue Date

06/20/1995

Effective Date

06/20/1995

Expiration Date

07/31/1999

City

CHICAGO

State

Zip

60610

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006