ERIN KATHLEEN PETERSEN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****53

License Status

ACTIVE

Business

First Name

ERIN

Middle

KATHLEEN

Last Name

PETERSEN

Suffix

Business Name

ERIN KATHLEEN PETERSEN MD

Original Issue Date

08/15/2016

Effective Date

07/20/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60657

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/20/2023