CAROL ELIZABETH PETERSON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****79

License Status

NOT RENEWED

Business

First Name

CAROL

Middle

ELIZABETH

Last Name

PETERSON

Suffix

Business Name

CAROL ELIZABETH PETERSON MD

Original Issue Date

01/01/1997

Expiration Date

07/31/2005

City

MORRIS

State

Zip

60450

County

GRUNDY

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020