JONATHAN B PETERSON MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125028688

License Status

EXPIRED

Business

First Name

JONATHAN B

Last Name

PETERSON

Suffix

Business Name

JONATHAN B PETERSON MD

Original Issue Date

06/10/1992

Effective Date

06/10/1992

Expiration Date

06/30/1995

City

OAK PARK

State

Zip

60301

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006