JOHN DAVID PERALTA-OLIVIERI MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125056317

License Status

CANCELLED

Business

Title

First Name

JOHN

Middle

DAVID

Last Name

PERALTA-OLIVIERI

Business Name

JOHN DAVID PERALTA-OLIVIERI MD

Original Issue Date

07/01/2009

Effective Date

07/01/2009

Expiration Date

06/30/2012

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

05/06/2009