DOUGLAS WILLIAM PETERS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****32

License Status

NOT RENEWED

Business

Title

First Name

DOUGLAS

Middle

WILLIAM

Last Name

PETERS

Business Name

DOUGLAS WILLIAM PETERS MD

Original Issue Date

10/03/2014

Effective Date

08/02/2017

Expiration Date

09/30/2020

City

WEST BURLINGTON

State

Zip

52655

County

IOWA

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021