ROBERT HAROLD PETTY MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036103151

License Status

NOT RENEWED

Business

First Name

ROBERT

Middle

HAROLD

Last Name

PETTY

Suffix

Business Name

ROBERT HAROLD PETTY MD

Original Issue Date

07/26/2000

Effective Date

09/14/2020

Expiration Date

07/31/2023

City

EFFINGHAM

State

Zip

62401

County

EFFINGHAM

Ever Disciplined

LastModifiedDate

11/30/2023