KATHRYN M PETRUNGARO MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125053323

License Status

EXPIRED

Business

First Name

KATHRYN

Middle

Last Name

PETRUNGARO

Suffix

Business Name

KATHRYN M PETRUNGARO MD

Original Issue Date

06/18/2007

Effective Date

06/18/2007

Expiration Date

06/17/2010

City

NORTHBROOK

State

Zip

60062

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

06/24/2010