JENNY H PETKOVA MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036112226

License Status

INACTIVE

Business

First Name

JENNY

Middle

Last Name

PETKOVA

Suffix

Business Name

JENNY H PETKOVA MD

Original Issue Date

08/27/2004

Effective Date

08/27/2004

Expiration Date

07/31/2005

City

BROOKFIELD

State

Zip

53005

County

WISCONSIN

Ever Disciplined

LastModifiedDate

06/26/2012