PETER THEISS MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****45

License Status

ACTIVE

Business

Title

First Name

PETER

Last Name

THEISS

Business Name

PETER THEISS MD

Original Issue Date

12/29/2020

Effective Date

05/09/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60606

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/09/2023