PATRICK JAMES PELLER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****44

License Status

NOT RENEWED

Business

First Name

PATRICK JAMES

Last Name

PELLER

Suffix

Business Name

PATRICK JAMES PELLER MD

Original Issue Date

06/10/1993

Effective Date

06/10/1993

Expiration Date

07/31/2002

City

DES PLAINES

State

Zip

60016

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006