JOHN A PETROVICH JR MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125018349

License Status

EXPIRED

Business

First Name

JOHN

Middle

Last Name

PETROVICH

Suffix

JR MD

Business Name

JOHN A PETROVICH JR MD

Original Issue Date

06/13/1985

Effective Date

06/13/1985

Expiration Date

07/01/1988

City

SPRINGFIELD

State

Zip

62708

County

SANGAMON

Specialty/Qualifier

Addiction Psychiatry

Ever Disciplined

LastModifiedDate

09/22/2006