MARK ALLEN PETERS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****70

License Status

NOT RENEWED

Business

First Name

MARK

Middle

ALLEN

Last Name

PETERS

Suffix

Business Name

MARK ALLEN PETERS MD

Original Issue Date

01/26/2004

Effective Date

06/26/2008

Expiration Date

07/31/2011

City

ROCKFORD

State

Zip

61101

County

WINNEBAGO

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

04/05/2020