JASON M PETRUNGARO MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036118376

License Status

NOT RENEWED

Business

First Name

JASON

Middle

Last Name

PETRUNGARO

Suffix

Business Name

JASON M PETRUNGARO MD

Original Issue Date

05/10/2007

Effective Date

12/07/2018

Expiration Date

09/30/2020

City

MUNSTER

State

Zip

46321

Ever Disciplined

LastModifiedDate

01/14/2021