AMY C PETERSON Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036105199

License Status

NOT RENEWED

Business

First Name

AMY

Middle

Last Name

PETERSON

Business Name

AMY C PETERSON

Original Issue Date

07/12/2001

Effective Date

07/31/2006

Expiration Date

07/31/2008

City

CHICAGO

State

Zip

60622

County

COOK

Ever Disciplined

LastModifiedDate

11/06/2008