SALLY L PETITO MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036078519

License Status

INACTIVE

Business

First Name

SALLY L

Last Name

PETITO

Suffix

Business Name

SALLY L PETITO MD

Original Issue Date

03/04/1989

Effective Date

03/04/1989

Expiration Date

07/31/2002

City

TOWN AND COUNTRY

State

Zip

63017

County

MISSOURI

Ever Disciplined

LastModifiedDate

10/09/2006