LORRAINE JUSTINE PETRAK MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036039752

License Status

INACTIVE

Business

First Name

LORRAINE JUSTINE

Last Name

PETRAK

Suffix

Business Name

LORRAINE JUSTINE PETRAK MD

Original Issue Date

06/28/1965

Effective Date

07/31/2006

Expiration Date

07/31/2008

City

MERRIONETTE PARK

State

Zip

60803

County

COOK

Ever Disciplined

LastModifiedDate

04/17/2008