OMER K PETTY Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019021453

License Status

NOT RENEWED

Business

First Name

OMER K

Last Name

PETTY

Business Name

OMER K PETTY

Original Issue Date

12/06/1988

Effective Date

12/06/1988

Expiration Date

09/30/2002

City

POPLAR BLUFF

State

Zip

63901

County

MISSOURI

Ever Disciplined

LastModifiedDate

10/17/2005