KIRSTIN R PETERSON Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125025462

License Status

EXPIRED

Business

First Name

KIRSTIN

Middle

Last Name

PETERSON

Business Name

KIRSTIN R PETERSON

Original Issue Date

06/14/1990

Effective Date

06/14/1990

Expiration Date

06/19/1993

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006