VANESSA ILIENE PETRAK MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036159234

License Status

ACTIVE

Business

Title

First Name

VANESSA

Middle

ILIENE

Last Name

PETRAK

Business Name

VANESSA ILIENE PETRAK MD

Original Issue Date

01/24/2022

Effective Date

04/25/2023

Expiration Date

07/31/2026

City

BURR RIDGE

State

Zip

60527

County

DUPAGE

Ever Disciplined

LastModifiedDate

04/25/2023