TIMOTHY S PETSCHE MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****02

License Status

ACTIVE

Business

First Name

TIMOTHY

Middle

Last Name

PETSCHE

Suffix

Business Name

TIMOTHY S PETSCHE MD

Original Issue Date

12/22/2010

Effective Date

06/02/2023

Expiration Date

07/31/2026

City

GENEVA

State

Zip

60134

County

KANE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/02/2023