ALICIA KATHERINE PETERSON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****35

License Status

NOT RENEWED

Business

First Name

ALICIA

Middle

KATHERINE

Last Name

PETERSON

Suffix

Business Name

ALICIA KATHERINE PETERSON MD

Original Issue Date

06/24/2011

Effective Date

06/24/2011

Expiration Date

07/31/2014

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/11/2017