CHRISTINE ANDERSON PETTY Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****41

License Status

NOT RENEWED

Business

First Name

CHRISTINE

Middle

ANDERSON

Last Name

PETTY

Business Name

CHRISTINE ANDERSON PETTY

Original Issue Date

07/12/1984

Effective Date

07/12/1984

Expiration Date

07/31/2008

City

MOLINE

State

Zip

61265

County

ROCK ISLAND

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/12/2017