JONATHAN MATTHEW PETTEGREW DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125055175

License Status

CANCELLED

Business

Title

First Name

JONATHAN

Middle

MATTHEW

Last Name

PETTEGREW

Business Name

JONATHAN MATTHEW PETTEGREW DO

Original Issue Date

07/01/2011

Effective Date

07/01/2011

Expiration Date

06/30/2013

City

OLYMPIA FIELDS

State

Zip

60461

County

COOK

Specialty/Qualifier

Orthopaedic Surgery

Ever Disciplined

LastModifiedDate

06/13/2011