JUDITH R PETERSON MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125019432

License Status

CANCELLED

Business

First Name

JUDITH R

Last Name

PETERSON

Suffix

Business Name

JUDITH R PETERSON MD

Original Issue Date

06/18/1986

Effective Date

06/18/1986

Expiration Date

07/01/1990

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

09/22/2006