PETER H S SPORN MD - Medical Doctor License in Illinois | # 33*****77

PETER H S SPORN MD

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****77

License Status

ACTIVE

Business

N

First Name

PETER

Middle

H S

Last Name

SPORN

Suffix

MD

Business Name

PETER H S SPORN MD

Original Issue Date

04/10/2023

Effective Date

04/10/2023

Expiration Date

07/31/2026

City

CHICAGO

State

IL

Zip

60637

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

N

LastModifiedDate

04/10/2023