WAYMOND JAY PETTIT MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036051290

License Status

NOT RENEWED

Business

First Name

WAYMOND JAY

Last Name

PETTIT

Suffix

Business Name

WAYMOND JAY PETTIT MD

Original Issue Date

07/10/1975

Effective Date

06/11/2014

Expiration Date

07/31/2017

City

DECATUR

State

Zip

62521

County

MACON

Ever Disciplined

LastModifiedDate

11/01/2017