DONNA M PERISEE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****32

License Status

NOT RENEWED

Business

First Name

DONNA M

Last Name

PERISEE

Suffix

Business Name

DONNA M PERISEE MD

Original Issue Date

05/22/1986

Effective Date

06/26/2017

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60661

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021