KYLE PETTY MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125072135

License Status

EXPIRED

Business

Title

First Name

KYLE

Last Name

PETTY

Business Name

KYLE PETTY MD

Original Issue Date

06/24/2021

Effective Date

06/24/2021

Expiration Date

06/23/2022

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Anesthesiology

Ever Disciplined

LastModifiedDate

10/11/2022