ANTHONY D PETERSON Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****75

License Status

ACTIVE

Business

First Name

ANTHONY

Middle

Last Name

PETERSON

Business Name

ANTHONY D PETERSON

Original Issue Date

05/02/2005

Effective Date

04/08/2023

Expiration Date

07/31/2026

City

NAPERVILLE

State

Zip

60563

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/08/2023