LAUREN ANN PETROVICH DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036149737

License Status

NOT RENEWED

Business

Title

First Name

LAUREN

Middle

ANN

Last Name

PETROVICH

Business Name

LAUREN ANN PETROVICH DO

Original Issue Date

06/15/2019

Effective Date

06/15/2019

Expiration Date

09/30/2020

City

MAYWOOD

State

Zip

60153

County

COOK

Ever Disciplined

LastModifiedDate

01/14/2021