MICHAEL DAVID PETERS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****74

License Status

NOT RENEWED

Business

First Name

MICHAEL

Middle

DAVID

Last Name

PETERS

Suffix

Business Name

MICHAEL DAVID PETERS MD

Original Issue Date

08/26/2002

Effective Date

08/26/2002

Expiration Date

07/31/2008

City

GLEN ELLYN

State

Zip

60137

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/06/2008