JOHN AUSTIN PETERSON MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125023923

License Status

EXPIRED

Business

First Name

JOHN AUSTIN

Last Name

PETERSON

Suffix

Business Name

JOHN AUSTIN PETERSON MD

Original Issue Date

05/23/1989

Effective Date

05/23/1989

Expiration Date

07/01/1992

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006