WAYMOND JAY PETTIT MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****49

License Status

NOT RENEWED

Business

First Name

WAYMOND JAY

Last Name

PETTIT

Suffix

Business Name

WAYMOND JAY PETTIT MD

Original Issue Date

01/01/1997

Effective Date

06/11/2014

Expiration Date

07/31/2017

City

DECATUR

State

Zip

62521

County

MACON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017