CHERYL S PETERSON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****62

License Status

NOT RENEWED

Business

First Name

CHERYL S

Last Name

PETERSON

Suffix

Business Name

CHERYL S PETERSON MD

Original Issue Date

10/22/1998

Effective Date

10/22/1998

Expiration Date

07/31/2002

City

ROSCOE

State

Zip

61073

County

WINNEBAGO

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020