MARVIN W PETRY MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****81

License Status

INACTIVE

Business

First Name

MARVIN W

Last Name

PETRY

Suffix

Business Name

MARVIN W PETRY MD

Original Issue Date

02/29/1988

Effective Date

07/03/2008

Expiration Date

07/31/2011

City

CHICAGO

State

Zip

60607

County

COOK

Controlled Substance Schedule

II III IV

Ever Disciplined

LastModifiedDate

04/07/2011