LAURA NORTON PETROVICH MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****77

License Status

ACTIVE

Business

Title

First Name

LAURA

Middle

NORTON

Last Name

PETROVICH

Business Name

LAURA NORTON PETROVICH MD

Original Issue Date

11/12/2019

Effective Date

04/22/2023

Expiration Date

07/31/2026

City

CORONADO

State

Zip

92118

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/22/2023