JANA I PETRA MD - Medical Doctor License in Indiana | # 036076409

JANA I PETRA MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036076409

License Status

NOT RENEWED

Business

N

First Name

JANA

Middle

I

Last Name

PETRA

Suffix

MD

Business Name

JANA I PETRA MD

Original Issue Date

11/26/1987

Effective Date

12/02/2010

Expiration Date

07/31/2011

State

IN

Ever Disciplined

N

LastModifiedDate

11/14/2011