KYLE SAMUEL PETERSON Podiatrist License verification

Business Entity

ACTIVE

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****69

License Status

ACTIVE

Business

First Name

KYLE

Middle

SAMUEL

Last Name

PETERSON

Business Name

KYLE SAMUEL PETERSON

Original Issue Date

07/24/2014

Effective Date

11/01/2024

Expiration Date

01/31/2027

City

BARTLETT

State

Zip

60103

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/16/2025