JESSICA KRISTEN PETERSON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****46

License Status

NOT RENEWED

Business

Title

First Name

JESSICA

Middle

KRISTEN

Last Name

PETERSON

Business Name

JESSICA KRISTEN PETERSON MD

Original Issue Date

01/16/2020

Effective Date

07/08/2020

Expiration Date

07/31/2023

City

CHICAGO

State

Zip

60611

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/30/2023