KRISTIN LILY PETERSON MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****09

License Status

ACTIVE

Business

Title

First Name

KRISTIN

Middle

LILY

Last Name

PETERSON

Business Name

KRISTIN LILY PETERSON MD

Original Issue Date

04/30/2022

Effective Date

05/13/2023

Expiration Date

07/31/2026

City

FOREST PARK

State

Zip

60130

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/13/2023