PAUL J PETRUSKA MD - Medical Doctor License in Missouri | # 036103128

PAUL J PETRUSKA MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036103128

License Status

NOT RENEWED

Business

N

First Name

PAUL

Middle

J

Last Name

PETRUSKA

Suffix

MD

Business Name

PAUL J PETRUSKA MD

Original Issue Date

07/20/2000

Effective Date

07/31/2006

Expiration Date

07/31/2008

State

MO

Ever Disciplined

N

LastModifiedDate

11/06/2008