STEPHEN ROSS PETERS 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

First Name

STEPHEN

Middle

ROSS

Last Name

PETERS

Suffix

Business Name

STEPHEN ROSS PETERS MD

Original Issue Date

07/21/1998

Effective Date

07/21/1998

Expiration Date

07/31/1999

City

DECATUR

State

Zip

62526

County

MACON

Controlled Substance Schedule

II III IV

Ever Disciplined

LastModifiedDate

09/26/2006