KEVIN PATRICK PETERS Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****86

License Status

ACTIVE

Business

First Name

KEVIN

Middle

PATRICK

Last Name

PETERS

Business Name

KEVIN PATRICK PETERS

Original Issue Date

10/11/2018

Effective Date

12/03/2025

Expiration Date

03/01/2028

City

ROCKFORD

State

Zip

61108

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

12/03/2025