PEYTON MICHAEL OSMUNDSON DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125080138

License Status

CANCELLED

Business

Title

First Name

PEYTON

Middle

MICHAEL

Last Name

OSMUNDSON

Business Name

PEYTON MICHAEL OSMUNDSON DO

Original Issue Date

06/25/2022

Effective Date

06/25/2022

Expiration Date

06/24/2025

City

PARK RIDGE

State

Zip

60068

County

COOK

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

10/23/2024