CHRISTINE A PETZING Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036105731

License Status

INACTIVE

Business

First Name

CHRISTINE

Middle

Last Name

PETZING

Business Name

CHRISTINE A PETZING

Original Issue Date

10/18/2001

Effective Date

04/17/2008

Expiration Date

07/31/2011

City

GALESBURG

State

Zip

61401

County

KNOX

Ever Disciplined

LastModifiedDate

04/07/2011