REBECCA LYNN PEDERSEN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****30

License Status

ACTIVE

Business

First Name

REBECCA

Middle

LYNN

Last Name

PEDERSEN

Suffix

Business Name

REBECCA LYNN PEDERSEN MD

Original Issue Date

07/24/2001

Effective Date

04/26/2023

Expiration Date

07/31/2026

City

FREEPORT

State

Zip

61032

County

STEPHENSON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/26/2023