RUSSELL M PETRAK MD SC Medical Corporation License verification

Business Entity

NOT RENEWED

License Type

Medical Corporation

Description

REGISTERED MEDICAL CORPORATION

License Number

042006979

License Status

NOT RENEWED

Business

Business Name

RUSSELL M PETRAK MD SC

Original Issue Date

03/24/1992

Effective Date

09/29/2010

Expiration Date

01/01/2012

City

HINSDALE

State

Zip

60521

County

DUPAGE

Ever Disciplined

LastModifiedDate

03/22/2012