MATTHEW J PELTZ Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125027116

License Status

EXPIRED

Business

First Name

MATTHEW

Middle

Last Name

PELTZ

Business Name

MATTHEW J PELTZ

Original Issue Date

06/06/1991

Effective Date

06/06/1991

Expiration Date

06/20/1992

City

CHICAGO

State

Zip

60615

County

COOK

Specialty/Qualifier

Family Practice & OMT

Ever Disciplined

LastModifiedDate

09/22/2006