RAYMOND FREY PETERS MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****44

License Status

CANCELLED

Business

First Name

RAYMOND

Middle

FREY

Last Name

PETERS

Suffix

Business Name

RAYMOND FREY PETERS MD

Original Issue Date

04/18/2003

Effective Date

07/14/2008

Expiration Date

07/31/2011

City

BLOOMINGTON

State

Zip

61704

County

MCLEAN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2011