FRANK D PETRUZELLA Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036115010

License Status

NOT RENEWED

Business

First Name

FRANK

Middle

Last Name

PETRUZELLA

Business Name

FRANK D PETRUZELLA

Original Issue Date

12/16/2005

Effective Date

07/31/2006

Expiration Date

07/31/2008

City

WEST ALLIS

State

Zip

53214

Ever Disciplined

LastModifiedDate

11/06/2008