MARY T PETER Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125044912

License Status

EXPIRED

Business

First Name

MARY

Middle

Last Name

PETER

Business Name

MARY T PETER

Original Issue Date

06/17/2002

Effective Date

06/17/2002

Expiration Date

07/06/2007

City

EVANSTON

State

Zip

60202

County

COOK

Specialty/Qualifier

Diagnostic Radiology

Ever Disciplined

LastModifiedDate

07/25/2007