KRISTIN LILY PETERSON MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036160085

License Status

ACTIVE

Business

Title

First Name

KRISTIN

Middle

LILY

Last Name

PETERSON

Business Name

KRISTIN LILY PETERSON MD

Original Issue Date

04/04/2022

Effective Date

05/13/2023

Expiration Date

07/31/2026

City

EVANSTON

State

Zip

60201

County

COOK

Ever Disciplined

LastModifiedDate

05/13/2023