KARRAH ELAINE PETRUSKA DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125075122

License Status

EXPIRED

Business

Title

First Name

KARRAH

Middle

ELAINE

Last Name

PETRUSKA

Business Name

KARRAH ELAINE PETRUSKA DO

Original Issue Date

07/01/2022

Effective Date

07/01/2022

Expiration Date

06/30/2023

City

PEORIA

State

Zip

61605

Specialty/Qualifier

Obstetrics and Gynecology

Ever Disciplined

LastModifiedDate

03/06/2024