PETER S TATE MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125014868

License Status

EXPIRED

Business

First Name

PETER S

Last Name

TATE

Suffix

Business Name

PETER S TATE MD

Original Issue Date

07/28/1982

Effective Date

07/28/1982

Expiration Date

07/01/1984

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

General Surgery

Ever Disciplined

LastModifiedDate

09/22/2006