PETER W EMBLAD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125036404

License Status

EXPIRED

Business

First Name

PETER

Middle

Last Name

EMBLAD

Business Name

PETER W EMBLAD

Original Issue Date

05/30/1997

Effective Date

05/30/1997

Expiration Date

06/30/1998

City

CHICAGO

State

Zip

60625

County

COOK

Ever Disciplined

LastModifiedDate

09/22/2006