ANTHONY D PETERSON Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125043779

License Status

CANCELLED

Business

First Name

ANTHONY

Middle

Last Name

PETERSON

Business Name

ANTHONY D PETERSON

Original Issue Date

08/24/2001

Effective Date

08/24/2001

Expiration Date

08/30/2007

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

Dermatology

Ever Disciplined

LastModifiedDate

09/22/2006