MARY KATHRYN PETERSON DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036121820

License Status

ACTIVE

Business

First Name

MARY

Middle

KATHRYN

Last Name

PETERSON

Suffix

Business Name

MARY KATHRYN PETERSON DO

Original Issue Date

08/20/2008

Effective Date

05/02/2023

Expiration Date

07/31/2026

City

PARK RIDGE

State

Zip

60068

County

COOK

Ever Disciplined

LastModifiedDate

05/02/2023