DAVID TALMAGE PETTY MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****02

License Status

NOT RENEWED

Business

First Name

DAVID TALMAGE

Last Name

PETTY

Suffix

Business Name

DAVID TALMAGE PETTY MD

Original Issue Date

01/01/1997

Effective Date

07/08/2008

Expiration Date

07/31/2011

City

HUNTLEY

State

Zip

60142

County

MCHENRY

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

11/10/2011