LEAH KRISTINA PETRAK Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085009033

License Status

ACTIVE

Business

First Name

LEAH

Middle

KRISTINA

Last Name

PETRAK

Business Name

LEAH KRISTINA PETRAK

Original Issue Date

07/13/2022

Effective Date

01/22/2026

Expiration Date

03/01/2028

City

CHICAGO

State

Zip

60657

County

COOK

Ever Disciplined

LastModifiedDate

01/22/2026