RONALD DAVID PETERSON DO 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

RONALD DAVID

Last Name

PETERSON

Suffix

Business Name

RONALD DAVID PETERSON DO

Original Issue Date

01/28/1985

Effective Date

01/28/1985

Expiration Date

07/31/2002

City

CHICAGO

State

Zip

60616

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020