PETRA JASMIN KETTERL MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****99

License Status

NOT RENEWED

Business

Title

First Name

PETRA

Middle

JASMIN

Last Name

KETTERL

Business Name

PETRA JASMIN KETTERL MD

Original Issue Date

10/05/2009

Effective Date

08/08/2011

Expiration Date

07/31/2014

City

ZION

State

Zip

60099

County

LAKE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2014