RICHARD BRIAN PETERMAN 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

RICHARD

Middle

BRIAN

Last Name

PETERMAN

Suffix

Business Name

RICHARD BRIAN PETERMAN MD

Original Issue Date

02/28/2014

Effective Date

08/05/2014

Expiration Date

07/31/2017

City

CHICAGO HEIGHTS

State

Zip

60411

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017