JESSICA KRISTEN PETERSON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036151313

License Status

NOT RENEWED

Business

Title

First Name

JESSICA

Middle

KRISTEN

Last Name

PETERSON

Business Name

JESSICA KRISTEN PETERSON MD

Original Issue Date

12/05/2019

Effective Date

07/01/2020

Expiration Date

07/31/2023

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

11/30/2023