PETER LOREN JAGGARD MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****84

License Status

ACTIVE

Business

First Name

PETER LOREN

Last Name

JAGGARD

Suffix

Business Name

PETER LOREN JAGGARD MD

Original Issue Date

08/27/1982

Effective Date

07/28/2023

Expiration Date

07/31/2026

City

EVANSTON

State

Zip

60201

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/28/2023