ROBERT HAROLD PETTY MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****88

License Status

NOT RENEWED

Business

First Name

ROBERT

Middle

HAROLD

Last Name

PETTY

Suffix

Business Name

ROBERT HAROLD PETTY MD

Original Issue Date

07/28/2000

Effective Date

09/14/2020

Expiration Date

07/31/2023

City

EFFINGHAM

State

Zip

62401

County

EFFINGHAM

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/30/2023