JEFFREY JOHN PETRUSEK MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****95

License Status

ACTIVE

Business

Title

First Name

JEFFREY

Middle

JOHN

Last Name

PETRUSEK

Business Name

JEFFREY JOHN PETRUSEK MD

Original Issue Date

05/13/2021

Effective Date

07/18/2023

Expiration Date

07/31/2026

City

BARRINGTON

State

Zip

60010

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/18/2023