PETER RANDOLPH LICHTENTHAL MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****74

License Status

CANCELLED

Business

First Name

PETER RANDOLPH

Last Name

LICHTENTHAL

Suffix

Business Name

PETER RANDOLPH LICHTENTHAL MD

Original Issue Date

01/01/1997

Expiration Date

07/31/2002

City

CHICAGO

State

Zip

60611

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2011