MICHAEL EDWARD PETRAVICK MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036163893

License Status

ACTIVE

Business

Title

First Name

MICHAEL

Middle

EDWARD

Last Name

PETRAVICK

Business Name

MICHAEL EDWARD PETRAVICK MD

Original Issue Date

03/06/2023

Effective Date

04/11/2023

Expiration Date

07/31/2026

City

PEORIA

State

Zip

61615

County

PEORIA

Ever Disciplined

LastModifiedDate

04/11/2023