PETER ROBERT KLEFFNER Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****43

License Status

NOT RENEWED

Business

First Name

PETER ROBERT

Last Name

KLEFFNER

Business Name

PETER ROBERT KLEFFNER

Original Issue Date

03/31/1997

Effective Date

03/31/1997

Expiration Date

07/31/2005

City

WAUKEGAN

State

Zip

60085

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006