FRANK D PETRUZELLA Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125045924

License Status

EXPIRED

Business

First Name

FRANK

Middle

Last Name

PETRUZELLA

Business Name

FRANK D PETRUZELLA

Original Issue Date

06/16/2003

Effective Date

06/16/2003

Expiration Date

06/15/2006

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

09/22/2006