NICHOLAS RYAN PETRE MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036156808

License Status

ACTIVE

Business

Title

First Name

NICHOLAS

Middle

RYAN

Last Name

PETRE

Business Name

NICHOLAS RYAN PETRE MD

Original Issue Date

05/03/2021

Effective Date

05/26/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60637

Ever Disciplined

LastModifiedDate

08/02/2024