JULIA CHRISTINE PEDERSON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****45

License Status

NOT RENEWED

Business

Title

First Name

JULIA

Middle

CHRISTINE

Last Name

PEDERSON

Business Name

JULIA CHRISTINE PEDERSON MD

Original Issue Date

03/17/2017

Effective Date

06/08/2017

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60614

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021