TODD HARLAN PETTY MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036106587

License Status

ACTIVE

Business

First Name

TODD

Middle

HARLAN

Last Name

PETTY

Suffix

Business Name

TODD HARLAN PETTY MD

Original Issue Date

03/25/2002

Effective Date

04/21/2023

Expiration Date

07/31/2026

City

QUINCY

State

Zip

62301

County

ADAMS

Ever Disciplined

LastModifiedDate

04/21/2023