CHRISTINE ANDERSON PETTY Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125014021

License Status

EXPIRED

Business

First Name

CHRISTINE

Middle

ANDERSON

Last Name

PETTY

Business Name

CHRISTINE ANDERSON PETTY

Original Issue Date

06/17/1982

Effective Date

06/17/1982

Expiration Date

07/01/1984

City

PARK RIDGE

State

Zip

60068

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006