MARY MARGARET PETTY MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036100148

License Status

NOT RENEWED

Business

First Name

MARY

Middle

MARGARET

Last Name

PETTY

Suffix

Business Name

MARY MARGARET PETTY MD

Original Issue Date

05/04/1999

Effective Date

05/04/1999

Expiration Date

07/31/2002

City

NASHVILLE

State

Zip

37215

County

TENNESSEE

Ever Disciplined

LastModifiedDate

10/09/2006