GINA M PETRUNGARO MD

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****69

NOT RENEWED

N

GINA M

PETRUNGARO

MD

GINA M PETRUNGARO MD

08/10/1994

08/10/1994

07/31/2002

OAK BROOK

IL

60521

DUPAGE

II III IV V

N

10/09/2006