JERRY PAUL PETASNICK MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****82

License Status

NOT RENEWED

Business

First Name

JERRY PAUL

Last Name

PETASNICK

Suffix

Business Name

JERRY PAUL PETASNICK MD

Original Issue Date

01/01/1997

Effective Date

07/08/2008

Expiration Date

07/31/2011

City

GLENVIEW

State

Zip

60026

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020