PETER THOMAS GEORGINIS MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125068808

License Status

CANCELLED

Business

Title

First Name

PETER

Middle

THOMAS

Last Name

GEORGINIS

Business Name

PETER THOMAS GEORGINIS MD

Original Issue Date

07/01/2016

Effective Date

07/01/2016

Expiration Date

06/30/2019

City

LAKE VILLA

State

Zip

60046

County

LAKE

Specialty/Qualifier

Anesthesiology

Ever Disciplined

LastModifiedDate

12/08/2018