EDWARD SYLVESTER PETERKA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036041469

License Status

NOT RENEWED

Business

First Name

EDWARD SYLVESTER

Last Name

PETERKA

Suffix

Business Name

EDWARD SYLVESTER PETERKA MD

Original Issue Date

11/17/1967

Effective Date

07/12/2017

Expiration Date

09/30/2020

City

GALESBURG

State

Zip

61401

County

KNOX

Ever Disciplined

LastModifiedDate

01/14/2021