AMY C PETERSON Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125037698

License Status

EXPIRED

Business

First Name

AMY

Middle

Last Name

PETERSON

Business Name

AMY C PETERSON

Original Issue Date

05/13/1998

Effective Date

05/13/1998

Expiration Date

06/15/2003

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Hematology & Oncology

Ever Disciplined

LastModifiedDate

09/22/2006