RAYMOND WALTER PETKUS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****38

License Status

NOT RENEWED

Business

First Name

RAYMOND WALTER

Last Name

PETKUS

Suffix

Business Name

RAYMOND WALTER PETKUS MD

Original Issue Date

01/01/1997

Effective Date

05/17/2018

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60610

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021