ROBERT J PETERSON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036100850

License Status

NOT RENEWED

Business

First Name

ROBERT

Middle

Last Name

PETERSON

Suffix

Business Name

ROBERT J PETERSON MD

Original Issue Date

08/03/1999

Effective Date

07/07/2020

Expiration Date

07/31/2023

City

WADSWORTH

State

Zip

60083

County

LAKE

Ever Disciplined

LastModifiedDate

11/30/2023