PETER EDWARD NEWSOM MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****87

License Status

NOT RENEWED

Business

First Name

PETER EDWARD

Last Name

NEWSOM

Suffix

Business Name

PETER EDWARD NEWSOM MD

Original Issue Date

04/01/1985

Effective Date

04/01/1985

Expiration Date

07/31/1999

City

CHICAGO

State

Zip

60611

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006