ROBERT A PETERSEN MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****31

License Status

CANCELLED

Business

First Name

ROBERT A

Last Name

PETERSEN

Suffix

Business Name

ROBERT A PETERSEN MD

Original Issue Date

01/31/1989

Effective Date

01/31/1989

Expiration Date

07/31/1990

City

OAK PARK

State

Zip

60301

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006