MICHAEL TERRANCE PEABODY MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125077641

License Status

CANCELLED

Business

Title

First Name

MICHAEL

Middle

TERRANCE

Last Name

PEABODY

Business Name

MICHAEL TERRANCE PEABODY MD

Original Issue Date

06/23/2024

Effective Date

06/23/2024

Expiration Date

06/22/2026

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Orthopaedic Surgery

Ever Disciplined

LastModifiedDate

01/15/2026