ALEXANDRA E PETRAKOS MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****04

License Status

ACTIVE

Business

Title

First Name

ALEXANDRA

Middle

Last Name

PETRAKOS

Business Name

ALEXANDRA E PETRAKOS MD

Original Issue Date

03/09/2022

Effective Date

05/23/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60611

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/23/2023