WILLIAM F PETTIT JR MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****32

License Status

NOT RENEWED

Business

First Name

WILLIAM F

Last Name

PETTIT JR

Suffix

Business Name

WILLIAM F PETTIT JR MD

Original Issue Date

08/19/1983

Effective Date

08/19/1983

Expiration Date

07/31/1984

City

GALESBURG

State

Zip

61401

County

KNOX

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006