ROBERT PETRAK MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125075208

License Status

CANCELLED

Business

Title

First Name

ROBERT

Last Name

PETRAK

Business Name

ROBERT PETRAK MD

Original Issue Date

06/25/2019

Effective Date

06/25/2019

Expiration Date

06/24/2022

City

BURR RIDGE

State

Zip

60527

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

05/15/2019