Disciplinary Action

The following information was retrieved from the Department's database at 11/22/2024 6:47:14 AM. The information presented reflects the database records at the time of your inquiry; however, it will not reflect pending updates which are being processed by the Department.

Name

PETRUSKA, KEVIN

Respondent Type

Licensed Individual

License Number

SA536255000

File Number

02A-133

Order Type

Consent Order

Reason

Conviction(s)

Order Date

12/16/2002

Dispositions

Granted Lic or Ren (after hearing or CO)
Practice Monitor
Provisional License - 2 years
Urinalysis

Currently unavailable in electronic format.