GUY A PETERSEN MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125018986

License Status

EXPIRED

Business

First Name

GUY A

Last Name

PETERSEN

Suffix

Business Name

GUY A PETERSEN MD

Original Issue Date

08/19/1985

Effective Date

08/19/1985

Expiration Date

08/04/1988

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Anesthesiology

Ever Disciplined

LastModifiedDate

09/22/2006