RUDOLPH JAMES PETRICH Podiatrist License verification

Business Entity

ACTIVE

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****10

License Status

ACTIVE

Business

First Name

RUDOLPH JAMES

Last Name

PETRICH

Business Name

RUDOLPH JAMES PETRICH

Original Issue Date

01/01/1998

Effective Date

01/17/2025

Expiration Date

01/31/2027

City

BENSENVILLE

State

Zip

60106

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/17/2025