TAMARA P PETRAC MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036111481

License Status

NOT RENEWED

Business

First Name

TAMARA

Middle

Last Name

PETRAC

Suffix

Business Name

TAMARA P PETRAC MD

Original Issue Date

05/26/2004

Effective Date

07/31/2006

Expiration Date

07/31/2008

City

BARRINGTON

State

Zip

60010

County

LAKE

Ever Disciplined

LastModifiedDate

01/26/2011