ADAM MATTHEW PETRICH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036128178

License Status

NOT RENEWED

Business

Title

First Name

ADAM

Middle

MATTHEW

Last Name

PETRICH

Business Name

ADAM MATTHEW PETRICH MD

Original Issue Date

06/23/2011

Effective Date

06/06/2014

Expiration Date

07/31/2017

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

11/01/2017