TODD MAGNUS PETERSON Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

VISITING RESIDENT

License Number

188000338

License Status

EXPIRED

Business

First Name

TODD

Middle

MAGNUS

Last Name

PETERSON

Business Name

TODD MAGNUS PETERSON

Original Issue Date

03/10/2008

Effective Date

03/10/2008

Expiration Date

09/09/2008

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Emergency Medicine

Ever Disciplined

LastModifiedDate

09/26/2008