KRISTIN ELIZABETH PETERSON MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125062370

License Status

CANCELLED

Business

Title

First Name

KRISTIN

Middle

ELIZABETH

Last Name

PETERSON

Business Name

KRISTIN ELIZABETH PETERSON MD

Original Issue Date

07/03/2012

Effective Date

07/03/2012

Expiration Date

07/02/2015

City

CHICAGO

State

Zip

60631

County

COOK

Specialty/Qualifier

Emergency Medicine

Ever Disciplined

LastModifiedDate

03/24/2014