AARON TIVNAN PELLETIER MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****64

License Status

ACTIVE

Business

Title

First Name

AARON

Middle

TIVNAN

Last Name

PELLETIER

Business Name

AARON TIVNAN PELLETIER MD

Original Issue Date

04/23/2012

Effective Date

05/04/2023

Expiration Date

07/31/2026

City

ZION

State

Zip

60099

County

LAKE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/04/2023