GORDON PETTY GEORGE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036066491

License Status

NOT RENEWED

Business

First Name

GORDON PETTY

Last Name

GEORGE

Suffix

Business Name

GORDON PETTY GEORGE MD

Original Issue Date

05/04/1983

Effective Date

05/04/1983

Expiration Date

07/31/1984

City

SALT LAKE CITY

State

Zip

84107

County

UTAH

Ever Disciplined

LastModifiedDate

09/20/2006