JENNY H PETKOVA MD - Medical Doctor License in Wisconsin | # 036112226

JENNY H PETKOVA MD

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036112226

License Status

INACTIVE

Business

N

First Name

JENNY

Middle

H

Last Name

PETKOVA

Suffix

MD

Business Name

JENNY H PETKOVA MD

Original Issue Date

08/27/2004

Effective Date

08/27/2004

Expiration Date

07/31/2005

State

WI

Ever Disciplined

N

LastModifiedDate

06/26/2012