DAVID ALEXANDER PETROV MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125076240

License Status

EXPIRED

Business

Title

First Name

DAVID

Middle

ALEXANDER

Last Name

PETROV

Business Name

DAVID ALEXANDER PETROV MD

Original Issue Date

07/01/2020

Effective Date

07/01/2020

Expiration Date

06/30/2021

City

CHICAGO

State

Zip

60612

Specialty/Qualifier

Interventional Radiology - Independent

Ever Disciplined

LastModifiedDate

10/11/2022