PETER BISTOLARIDES MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****26

License Status

NOT RENEWED

Business

First Name

PETER

Last Name

BISTOLARIDES

Suffix

Business Name

PETER BISTOLARIDES MD

Original Issue Date

01/28/1998

Effective Date

01/28/1998

Expiration Date

07/31/2002

City

BELVIDERE

State

Zip

61008

County

BOONE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006