LISA JEANNE PETERS MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****95

License Status

ACTIVE

Business

First Name

LISA

Middle

JEANNE

Last Name

PETERS

Suffix

Business Name

LISA JEANNE PETERS MD

Original Issue Date

08/01/2002

Effective Date

05/11/2023

Expiration Date

07/31/2026

City

FOREST PARK

State

Zip

60130

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/11/2023