ERIN KATHLEEN PETERSEN MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125061635

License Status

EXPIRED

Business

First Name

ERIN

Middle

KATHLEEN

Last Name

PETERSEN

Suffix

Business Name

ERIN KATHLEEN PETERSEN MD

Original Issue Date

06/15/2012

Effective Date

06/15/2012

Expiration Date

06/14/2013

City

BERWYN

State

Zip

60402

County

COOK

Specialty/Qualifier

Transitional Year

Ever Disciplined

LastModifiedDate

07/03/2013