TAYLOR A PETRUSEVSKI MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****26

License Status

ACTIVE

Business

Title

First Name

TAYLOR

Middle

Last Name

PETRUSEVSKI

Prefix

Business Name

TAYLOR A PETRUSEVSKI MD

Original Issue Date

06/20/2023

Effective Date

06/20/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/20/2023