PETRA N JOSEPH Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036061158

License Status

INACTIVE

Business

First Name

PETRA N

Last Name

JOSEPH

Business Name

PETRA N JOSEPH

Original Issue Date

10/31/1980

Effective Date

05/04/2011

Expiration Date

07/31/2014

City

CHICAGO

State

Zip

60615

County

COOK

Ever Disciplined

LastModifiedDate

04/08/2014