ALICIA KATHERINE PETERSON MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125054829

License Status

CANCELLED

Business

First Name

ALICIA

Middle

KATHERINE

Last Name

PETERSON

Suffix

Business Name

ALICIA KATHERINE PETERSON MD

Original Issue Date

06/23/2008

Effective Date

06/23/2008

Expiration Date

06/22/2011

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

04/14/2008