RONALD DAVID PETERSON DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****88

License Status

NOT RENEWED

Business

First Name

RONALD DAVID

Last Name

PETERSON

Suffix

Business Name

RONALD DAVID PETERSON DO

Original Issue Date

08/17/1990

Effective Date

06/22/2017

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60612

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021