WARREN EUGENE PETTY DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****21

License Status

NOT RENEWED

Business

First Name

WARREN EUGENE

Last Name

PETTY

Suffix

DDS

Business Name

WARREN EUGENE PETTY DDS

Original Issue Date

01/01/1998

Expiration Date

09/30/1998

City

BENTON

State

Zip

62812

County

FRANKLIN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005