RAYMOND WALTER PETKUS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****33

License Status

NOT RENEWED

Business

First Name

RAYMOND WALTER

Last Name

PETKUS

Suffix

Business Name

RAYMOND WALTER PETKUS MD

Original Issue Date

06/13/2018

Effective Date

06/13/2018

Expiration Date

09/30/2020

City

ST PETERSBURG

State

Zip

33706

County

FLORIDA

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021