PETER R JUNGBLUT Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125031541

License Status

EXPIRED

Business

First Name

PETER

Middle

Last Name

JUNGBLUT

Business Name

PETER R JUNGBLUT

Original Issue Date

05/26/1994

Effective Date

05/26/1994

Expiration Date

06/20/1997

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

12/11/2012