WILLIAM DONALD PETTY DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****32

License Status

NOT RENEWED

Business

First Name

WILLIAM

Middle

DONALD

Last Name

PETTY

Suffix

DDS

Business Name

WILLIAM DONALD PETTY DDS

Original Issue Date

01/01/1998

Effective Date

07/12/2018

Expiration Date

01/31/2022

City

OAK LAWN

State

Zip

60453

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/09/2022