PETER H S SPORN MD - Medical Doctor License in Illinois | # 33*****15

PETER H S SPORN MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****15

License Status

NOT RENEWED

Business

N

First Name

PETER

Middle

H S

Last Name

SPORN

Suffix

MD

Business Name

PETER H S SPORN MD

Original Issue Date

08/07/1991

Effective Date

05/19/2020

Expiration Date

07/31/2023

City

CHICAGO

State

IL

Zip

60611

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

N

LastModifiedDate

11/30/2023