FRANK D PETRUZELLA Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****42

License Status

NOT RENEWED

Business

First Name

FRANK

Middle

Last Name

PETRUZELLA

Business Name

FRANK D PETRUZELLA

Original Issue Date

02/09/2006

Effective Date

02/09/2006

Expiration Date

07/31/2008

City

CHICAGO

State

Zip

60657

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/06/2008