ROBERT J PETERSON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****51

License Status

NOT RENEWED

Business

First Name

ROBERT

Middle

Last Name

PETERSON

Suffix

Business Name

ROBERT J PETERSON MD

Original Issue Date

10/26/1999

Effective Date

07/08/2020

Expiration Date

07/31/2023

City

CHICAGO

State

Zip

60601

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/30/2023