MARY KATHRYN PETERSON DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****68

License Status

ACTIVE

Business

First Name

MARY

Middle

KATHRYN

Last Name

PETERSON

Suffix

Business Name

MARY KATHRYN PETERSON DO

Original Issue Date

08/21/2008

Effective Date

05/02/2023

Expiration Date

07/31/2026

City

PARK RIDGE

State

Zip

60068

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/02/2023