ROBERT JAMES PETERSON OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****24

License Status

NOT RENEWED

Business

First Name

ROBERT

Middle

JAMES

Last Name

PETERSON

Suffix

Business Name

ROBERT JAMES PETERSON OD

Original Issue Date

04/17/1996

Effective Date

01/12/2018

Expiration Date

09/30/2020

City

MCHENRY

State

Zip

60050

County

MCHENRY

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

01/14/2021