JANA I PETRA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036076409

License Status

NOT RENEWED

Business

First Name

JANA

Middle

Last Name

PETRA

Suffix

Business Name

JANA I PETRA MD

Original Issue Date

11/26/1987

Effective Date

12/02/2010

Expiration Date

07/31/2011

City

DYER

State

Zip

46311

County

INDIANA

Ever Disciplined

LastModifiedDate

11/14/2011