ROGER PETTIT HARRIE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036059713

License Status

NOT RENEWED

Business

First Name

ROGER PETTIT

Last Name

HARRIE

Suffix

Business Name

ROGER PETTIT HARRIE MD

Original Issue Date

11/09/1979

Effective Date

11/09/1979

City

IOWA CITY

State

Zip

52240

County

IOWA

Ever Disciplined

LastModifiedDate

09/20/2006