PETER E FISK MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****56

License Status

NOT RENEWED

Business

First Name

PETER

Middle

Last Name

FISK

Suffix

Business Name

PETER E FISK MD

Original Issue Date

04/16/2007

Effective Date

05/16/2008

Expiration Date

07/31/2011

City

NORTHBROOK

State

Zip

60062

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

02/15/2017