PETER THEODORE SCHLAKE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****48

License Status

NOT RENEWED

Business

First Name

PETER THEODORE

Last Name

SCHLAKE

Suffix

Business Name

PETER THEODORE SCHLAKE MD

Original Issue Date

07/27/1981

Effective Date

04/17/2017

Expiration Date

09/30/2020

City

URBANA

State

Zip

61801

County

TENNESSEE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021