TIMOTHY PETERSON MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****15

License Status

ACTIVE

Business

First Name

TIMOTHY

Last Name

PETERSON

Suffix

Business Name

TIMOTHY PETERSON MD

Original Issue Date

08/09/1993

Effective Date

06/30/2023

Expiration Date

07/31/2026

City

EVANSTON

State

Zip

60201

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/30/2023