PERRY M PERRETZ DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125041796

License Status

EXPIRED

Business

First Name

PERRY

Middle

Last Name

PERRETZ

Suffix

Business Name

PERRY M PERRETZ DO

Original Issue Date

07/01/2000

Effective Date

07/01/2000

Expiration Date

06/30/2003

City

CHICAGO

State

Zip

60608

County

COOK

Ever Disciplined

LastModifiedDate

09/22/2006