BRIAN JOHN PETERSON Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125052586

License Status

EXPIRED

Business

First Name

BRIAN

Middle

JOHN

Last Name

PETERSON

Business Name

BRIAN JOHN PETERSON

Original Issue Date

07/01/2007

Effective Date

07/01/2007

Expiration Date

06/30/2010

City

CHICAGO

State

Zip

60631

County

COOK

Specialty/Qualifier

Emergency Medicine

Ever Disciplined

LastModifiedDate

07/08/2010