JOHN A PETROVICH JR MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****79

License Status

NOT RENEWED

Business

First Name

JOHN

Middle

Last Name

PETROVICH

Suffix

JR MD

Business Name

JOHN A PETROVICH JR MD

Original Issue Date

07/26/1990

Effective Date

01/05/2017

Expiration Date

07/31/2017

City

SAINT LOUIS

State

Zip

63122

County

MISSOURI

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020