LAUREN ANN PETROVICH DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125070816

License Status

CANCELLED

Business

Title

First Name

LAUREN

Middle

ANN

Last Name

PETROVICH

Business Name

LAUREN ANN PETROVICH DO

Original Issue Date

07/01/2017

Effective Date

07/01/2017

Expiration Date

06/30/2020

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

Anesthesiology

Ever Disciplined

LastModifiedDate

05/11/2017