ANNE M PETRE Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****34

License Status

NOT RENEWED

Business

First Name

ANNE M

Last Name

PETRE

Business Name

ANNE M PETRE

Original Issue Date

08/30/1995

Effective Date

07/24/2017

Expiration Date

09/30/2020

City

EAST MOLINE

State

Zip

61244

County

ROCK ISLAND

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021