DIMITRI PETSIKAS MD

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****54

NOT RENEWED

N

DIMITRI

PETSIKAS

MD

DIMITRI PETSIKAS MD

04/25/1991

04/25/1991

07/31/1993

MAYWOOD

IL

60153

COOK

II III IV V

N

09/26/2006