PETER DONALD FURNESS III MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****15

License Status

NOT RENEWED

Business

First Name

PETER DONALD

Last Name

FURNESS III

Suffix

Business Name

PETER DONALD FURNESS III MD

Original Issue Date

12/03/1996

Effective Date

12/03/1996

Expiration Date

07/31/1999

City

CHICAGO

State

Zip

60614

County

COOK

Controlled Substance Schedule

II III IV

Ever Disciplined

LastModifiedDate

09/26/2006