MIRO PETANI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036037185

License Status

NOT RENEWED

Business

First Name

MIRO

Last Name

PETANI

Suffix

Business Name

MIRO PETANI MD

Original Issue Date

05/25/1961

Effective Date

07/31/2006

Expiration Date

07/31/2008

City

OAK PARK

State

Zip

60302

County

COOK

Ever Disciplined

LastModifiedDate

11/06/2008