CARL RICHARD PETT MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125075788

License Status

CANCELLED

Business

Title

First Name

CARL

Middle

RICHARD

Last Name

PETT

Business Name

CARL RICHARD PETT MD

Original Issue Date

07/01/2020

Effective Date

07/01/2020

Expiration Date

06/30/2023

City

OAK PARK

State

Zip

60304

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

05/20/2020