RAYMOND FREY PETERS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****85

License Status

NOT RENEWED

Business

First Name

RAYMOND

Middle

FREY

Last Name

PETERS

Suffix

Business Name

RAYMOND FREY PETERS MD

Original Issue Date

04/01/2003

Effective Date

04/01/2003

Expiration Date

07/31/2005

City

PEORIA

State

Zip

61603

County

PEORIA

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2011