ROBERT A PETERSEN MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125019912

License Status

EXPIRED

Business

First Name

ROBERT A

Last Name

PETERSEN

Suffix

Business Name

ROBERT A PETERSEN MD

Original Issue Date

06/30/1986

Effective Date

06/30/1986

Expiration Date

06/23/1989

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Obstetrics & Gynecology

Ever Disciplined

LastModifiedDate

09/22/2006