KRYSTA MARIE PETERS MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125065144

License Status

CANCELLED

Business

Title

First Name

KRYSTA

Middle

MARIE

Last Name

PETERS

Business Name

KRYSTA MARIE PETERS MD

Original Issue Date

07/01/2017

Effective Date

07/01/2017

Expiration Date

06/30/2018

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Anesthesiology

Ever Disciplined

LastModifiedDate

07/11/2017