PETER R DEHAAI DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LIMITED MEDICAL TEMPORARY PERMIT

License Number

130000962

License Status

NOT RENEWED

Business

Title

First Name

PETER

Middle

Last Name

DEHAAI

Business Name

PETER R DEHAAI DO

Original Issue Date

07/01/2013

Effective Date

07/01/2013

Expiration Date

12/30/2013

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Anesthesiology

Ever Disciplined

LastModifiedDate

08/12/2014