DANIEL SUTHERLAN PETTY Dentist License verification

Business Entity

CANCELLED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****69

License Status

CANCELLED

Business

First Name

DANIEL SUTHERLAN

Last Name

PETTY

Business Name

DANIEL SUTHERLAN PETTY

Original Issue Date

01/01/1998

Expiration Date

06/01/1982

City

VASHON

State

Zip

98070

County

WASHINGTON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005