MARY G PETTI Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

LIMITED MEDICAL TEMPORARY PERMIT

License Number

130000166

License Status

EXPIRED

Business

First Name

MARY

Middle

Last Name

PETTI

Business Name

MARY G PETTI

Original Issue Date

03/12/1992

Effective Date

03/12/1992

Expiration Date

09/11/1992

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Anesthesiology

Ever Disciplined

LastModifiedDate

09/25/2006