KRISTIN LILY PETERSON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****08

License Status

NOT RENEWED

Business

Title

First Name

KRISTIN

Middle

LILY

Last Name

PETERSON

Business Name

KRISTIN LILY PETERSON MD

Original Issue Date

04/29/2022

Effective Date

04/29/2022

Expiration Date

07/31/2023

City

EVANSTON

State

Zip

60201

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/30/2023