GINA M PETRUNGARO MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125024955

License Status

EXPIRED

Business

First Name

GINA M

Last Name

PETRUNGARO

Suffix

Business Name

GINA M PETRUNGARO MD

Original Issue Date

05/22/1990

Effective Date

05/22/1990

Expiration Date

08/31/1994

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

Anesthesiology

Ever Disciplined

LastModifiedDate

09/22/2006