ROBERT ARA PETROSSIAN MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125070684

License Status

EXPIRED

Business

Title

First Name

ROBERT

Middle

ARA

Last Name

PETROSSIAN

Business Name

ROBERT ARA PETROSSIAN MD

Original Issue Date

06/26/2020

Effective Date

06/26/2020

Expiration Date

06/25/2022

City

SPRINGFIELD

State

Zip

62701

County

SANGAMON

Specialty/Qualifier

Urology

Ever Disciplined

LastModifiedDate

10/11/2022