ALICIA KATHERINE PETERSON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036127530

License Status

NOT RENEWED

Business

First Name

ALICIA

Middle

KATHERINE

Last Name

PETERSON

Suffix

Business Name

ALICIA KATHERINE PETERSON MD

Original Issue Date

04/12/2011

Effective Date

05/09/2014

Expiration Date

07/31/2017

City

CHICAGO

State

Zip

60614

County

COOK

Ever Disciplined

LastModifiedDate

11/01/2017