SALLY L PETITO MD - Medical Doctor License in Missouri | # 036078519

SALLY L PETITO MD

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036078519

License Status

INACTIVE

Business

N

First Name

SALLY L

Last Name

PETITO

Suffix

MD

Business Name

SALLY L PETITO MD

Original Issue Date

03/04/1989

Effective Date

03/04/1989

Expiration Date

07/31/2002

State

MO

Ever Disciplined

N

LastModifiedDate

10/09/2006