MICHAEL DAVID PETERS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036107724

License Status

NOT RENEWED

Business

First Name

MICHAEL

Middle

DAVID

Last Name

PETERS

Suffix

Business Name

MICHAEL DAVID PETERS MD

Original Issue Date

08/22/2002

Effective Date

07/31/2006

Expiration Date

07/31/2008

City

GLEN ELLYN

State

Zip

60137

County

DUPAGE

Ever Disciplined

LastModifiedDate

11/23/2010