MARCIA L PETRICK MD - Medical Doctor License in Indiana | # 036092854

MARCIA L PETRICK MD

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036092854

License Status

INACTIVE

Business

N

First Name

MARCIA

Middle

L

Last Name

PETRICK

Suffix

MD

Business Name

MARCIA L PETRICK MD

Original Issue Date

05/24/1996

Effective Date

04/21/2014

Expiration Date

07/31/2017

State

IN

Ever Disciplined

N

LastModifiedDate

04/12/2017