ELIZABETH PETESCH DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

LIMITED MEDICAL TEMPORARY PERMIT

License Number

130001419

License Status

EXPIRED

Business

Title

First Name

ELIZABETH

Last Name

PETESCH

Business Name

ELIZABETH PETESCH DO

Original Issue Date

10/18/2021

Effective Date

10/18/2021

Expiration Date

04/17/2022

City

CHICAGO

State

Zip

60611

Specialty/Qualifier

Anesthesiology

Ever Disciplined

LastModifiedDate

10/11/2022