PETER J C MACDONALD MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****93

License Status

NOT RENEWED

Business

First Name

PETER J C

Last Name

MACDONALD

Suffix

Business Name

PETER J C MACDONALD MD

Original Issue Date

11/22/1994

Effective Date

04/17/2014

Expiration Date

07/31/2017

City

LINDENHURST

State

Zip

60046

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017