PETER JOHN MINICH MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****70

License Status

ACTIVE

Business

First Name

PETER

Middle

JOHN

Last Name

MINICH

Suffix

Business Name

PETER JOHN MINICH MD

Original Issue Date

08/03/2000

Effective Date

02/21/2024

Expiration Date

07/31/2026

City

QUINCY

State

Zip

62301

County

ADAMS

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/06/2024