RICHARD OWEN PETTY DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019013900

License Status

NOT RENEWED

Business

First Name

RICHARD OWEN

Last Name

PETTY

Suffix

DDS

Business Name

RICHARD OWEN PETTY DDS

Original Issue Date

07/07/1970

Effective Date

07/07/1970

City

OGDEN

State

Zip

84401

County

UTAH

Ever Disciplined

LastModifiedDate

10/12/2005