Mara Ann Petruccione

License

Licensed by

Illinois Department of Financial and Professional Regulation

License number

085005870

Status

Expired (Not Renewed)

First issued

July 5, 2016

Expired

March 1, 2022

License holder

Mara Ann Petruccione

Entity type

Individual

Classifications

• Licensed Physician Assistant Physicians & Surgeons

More from the license record

Current term began

02/04/2020

Other Illinois licenses under this name

• IL
  Mara Ann Petruccione

  License 38*****28

  Physician Assistant Controlled Substance
  Expired

  Oak Lawn, IL

  Expired Mar 1, 2022

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