PAULA PETRUCCI Podiatrist License verification

Business Entity

INACTIVE

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016004723

License Status

INACTIVE

Business

First Name

PAULA

Last Name

PETRUCCI

Business Name

PAULA PETRUCCI

Original Issue Date

03/15/1995

Effective Date

01/05/2015

Expiration Date

01/31/2017

City

CHICAGO

State

Zip

60646

County

COOK

Ever Disciplined

LastModifiedDate

11/10/2016