MICHAEL J PETERSEN DPM Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016002938

License Status

NOT RENEWED

Business

First Name

MICHAEL

Middle

Last Name

PETERSEN

Suffix

DPM

Business Name

MICHAEL J PETERSEN DPM

Original Issue Date

08/03/1977

Effective Date

12/09/2014

Expiration Date

01/31/2017

City

MCHENRY

State

Zip

60050

County

MCHENRY

Ever Disciplined

LastModifiedDate

03/27/2017