License holder summary

PETRAK, RUSSELL MARTIN, MD is a Medical - Physician licensed to practice in Georgia. The address on file for PETRAK, RUSSELL MARTIN, MD is 1 SALT CREEK LANE, STE 105, HINSDALE 60521. This doctor license is not current. The license was granted 12/05/1996 and expired on 12/31/1999.

Georgia

Composite Medical Board

PETRAK, RUSSELL MARTIN, MD
Medical - Physician
License number
042917
Date granted
12/05/1996
Date expires
12/31/1999
Class
Medical - Physician
Status
Lapsed
Address
1 SALT CREEK LANE, STE 105
georgiadoctors.net
ID 38072590
LAST UPDATED 2021-06-18 22:15:09 UTC

This website is unaffiliated with the Composite Medical Board. Please verify all information directly with the relevant official government authority.

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