LON J PETCHENIK MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036081936

License Status

ACTIVE

Business

First Name

LON J

Last Name

PETCHENIK

Suffix

Business Name

LON J PETCHENIK MD

Original Issue Date

12/14/1990

Effective Date

05/11/2023

Expiration Date

07/31/2026

City

ROLLING MEADOWS

State

Zip

60008

Ever Disciplined

LastModifiedDate

05/11/2023