JEFFREY JOHN PETRUSEK MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036155766

License Status

ACTIVE

Business

Title

First Name

JEFFREY

Middle

JOHN

Last Name

PETRUSEK

Business Name

JEFFREY JOHN PETRUSEK MD

Original Issue Date

02/23/2021

Effective Date

07/18/2023

Expiration Date

07/31/2026

City

BARRINGTON

State

Zip

60010

County

LAKE

Ever Disciplined

LastModifiedDate

07/18/2023