ANDREW MICHAEL PECK MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125049612

License Status

EXPIRED

Business

First Name

ANDREW

Middle

MICHAEL

Last Name

PECK

Suffix

Business Name

ANDREW MICHAEL PECK MD

Original Issue Date

06/22/2005

Effective Date

06/22/2005

Expiration Date

06/21/2008

City

MOUNT PROSPECT

State

Zip

60056

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

06/26/2008