PETER E SICES Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036100893

License Status

INACTIVE

Business

First Name

PETER

Middle

Last Name

SICES

Business Name

PETER E SICES

Original Issue Date

08/05/1999

Effective Date

08/05/1999

Expiration Date

07/31/2002

City

SOUTH BEND

State

Zip

46614

County

INDIANA

Ever Disciplined

LastModifiedDate

05/12/2011