JOHN A PETROVICH JR MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036073474

License Status

NOT RENEWED

Business

First Name

JOHN

Middle

Last Name

PETROVICH

Suffix

JR MD

Business Name

JOHN A PETROVICH JR MD

Original Issue Date

08/14/1986

Effective Date

04/12/2017

Expiration Date

09/30/2020

State

Ever Disciplined

LastModifiedDate

06/02/2021

Case Number

2004008162

Action

Refuse To Renew

Discipline Start Date

05/28/2021

Discipline Reason

physician and surgeon license placed in refuse to renew status for failure to comply with the ongoing terms of Department's probation.