TERRI A PETERSON HENRY DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125023690

License Status

EXPIRED

Business

First Name

TERRI A

Last Name

PETERSON HENRY

Suffix

Business Name

TERRI A PETERSON HENRY DO

Original Issue Date

05/09/1989

Effective Date

05/09/1989

Expiration Date

07/01/1992

City

HINSDALE

State

Zip

60521

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006