HAROLD LEE PELTAN MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****40

License Status

CANCELLED

Business

First Name

HAROLD

Middle

LEE

Last Name

PELTAN

Suffix

Business Name

HAROLD LEE PELTAN MD

Original Issue Date

06/24/1998

Effective Date

06/24/1998

Expiration Date

07/31/2002

City

DANVILLE

State

Zip

61834

County

VERMILION

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

10/09/2006