RONALD DAVID PETERSON DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125014747

License Status

EXPIRED

Business

First Name

RONALD DAVID

Last Name

PETERSON

Suffix

Business Name

RONALD DAVID PETERSON DO

Original Issue Date

07/14/1982

Effective Date

07/14/1982

Expiration Date

07/01/1984

City

CHICAGO

State

Zip

60616

County

COOK

Specialty/Qualifier

Anesthesiology

Ever Disciplined

LastModifiedDate

09/22/2006