PETER A RIQUETTI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036104000

License Status

NOT RENEWED

Business

First Name

PETER

Middle

Last Name

RIQUETTI

Suffix

Business Name

PETER A RIQUETTI MD

Original Issue Date

01/08/2001

Effective Date

01/08/2001

Expiration Date

07/31/2002

City

CHICAGO

State

Zip

60622

County

COOK

Ever Disciplined

LastModifiedDate

10/09/2006