MARY T PETER Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****75

License Status

ACTIVE

Business

First Name

MARY

Middle

Last Name

PETER

Business Name

MARY T PETER

Original Issue Date

07/09/2007

Effective Date

07/28/2023

Expiration Date

07/31/2026

City

WAUKESHA

State

Zip

53189

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/26/2023