PAUL J PETRUSKA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036103128

License Status

NOT RENEWED

Business

First Name

PAUL

Middle

Last Name

PETRUSKA

Suffix

Business Name

PAUL J PETRUSKA MD

Original Issue Date

07/20/2000

Effective Date

07/31/2006

Expiration Date

07/31/2008

City

CREVE COEUR

State

Zip

63141

County

MISSOURI

Ever Disciplined

LastModifiedDate

11/06/2008