ROBERT J PETERSON MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125036934

License Status

EXPIRED

Business

First Name

ROBERT

Middle

Last Name

PETERSON

Suffix

Business Name

ROBERT J PETERSON MD

Original Issue Date

06/25/1997

Effective Date

06/25/1997

Expiration Date

06/30/2000

City

CHICAGO

State

Zip

60640

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006