WARREN EUGENE PETTY DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019011469

License Status

NOT RENEWED

Business

First Name

WARREN EUGENE

Last Name

PETTY

Suffix

DDS

Business Name

WARREN EUGENE PETTY DDS

Original Issue Date

08/04/1959

Effective Date

10/01/2006

Expiration Date

09/30/2009

City

BENTON

State

Zip

62812

County

FRANKLIN

Ever Disciplined

LastModifiedDate

01/08/2010