JOHN G PETERSON Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****21

License Status

NOT RENEWED

Business

First Name

JOHN G

Last Name

PETERSON

Business Name

JOHN G PETERSON

Original Issue Date

06/16/1995

Effective Date

06/16/1995

Expiration Date

07/31/1996

City

MARENGO

State

Zip

60152

County

MCHENRY

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006