ERIC LAMAR PETERMAN MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125060366

License Status

CANCELLED

Business

Title

First Name

ERIC

Middle

LAMAR

Last Name

PETERMAN

Business Name

ERIC LAMAR PETERMAN MD

Original Issue Date

06/25/2011

Effective Date

06/25/2011

Expiration Date

06/24/2013

City

CHICAGO

State

Zip

60657

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

06/17/2011