JASON M PETRUNGARO MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125046294

License Status

EXPIRED

Business

First Name

JASON

Middle

Last Name

PETRUNGARO

Suffix

Business Name

JASON M PETRUNGARO MD

Original Issue Date

07/01/2003

Effective Date

07/01/2003

Expiration Date

06/30/2007

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

General Surgery

Ever Disciplined

LastModifiedDate

07/03/2007