TAYLOR A PETRUSEVSKI MD Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049215118

License Status

NOT RENEWED

Business

Title

First Name

TAYLOR

Middle

Last Name

PETRUSEVSKI

Prefix

Business Name

TAYLOR A PETRUSEVSKI MD

Original Issue Date

12/20/2012

Effective Date

12/20/2012

Expiration Date

03/31/2013

City

ORLAND PARK

State

Zip

60467

County

COOK

Ever Disciplined

LastModifiedDate

05/06/2013