JOHN AUSTIN PETERSON MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****63

License Status

ACTIVE

Business

First Name

JOHN AUSTIN

Last Name

PETERSON

Suffix

Business Name

JOHN AUSTIN PETERSON MD

Original Issue Date

05/13/2002

Effective Date

06/10/2023

Expiration Date

07/31/2026

City

CHAMPAIGN

State

Zip

61822

County

CHAMPAIGN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/10/2023