KYLE SAMUEL PETERSON Podiatrist License verification

Business Entity

ACTIVE

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016005623

License Status

ACTIVE

Business

First Name

KYLE

Middle

SAMUEL

Last Name

PETERSON

Business Name

KYLE SAMUEL PETERSON

Original Issue Date

07/24/2014

Effective Date

11/01/2024

Expiration Date

01/31/2027

City

BARTLETT

State

Zip

60103

County

COOK

Ever Disciplined

LastModifiedDate

11/01/2024