TIMOTHY JAMES PETERSON MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036156545

License Status

ACTIVE

Business

Title

First Name

TIMOTHY

Middle

JAMES

Last Name

PETERSON

Business Name

TIMOTHY JAMES PETERSON MD

Original Issue Date

04/14/2021

Effective Date

04/29/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60622

County

COOK

Ever Disciplined

LastModifiedDate

04/29/2023