PETER WILLIAM MACINTOSH MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125054224

License Status

CANCELLED

Business

Title

First Name

PETER

Middle

WILLIAM

Last Name

MACINTOSH

Business Name

PETER WILLIAM MACINTOSH MD

Original Issue Date

07/01/2009

Effective Date

07/01/2009

Expiration Date

06/30/2011

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Ophthalmology

Ever Disciplined

LastModifiedDate

02/24/2009