GARY J PETTY MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036118847

License Status

INACTIVE

Business

First Name

GARY

Middle

Last Name

PETTY

Suffix

Business Name

GARY J PETTY MD

Original Issue Date

06/28/2007

Effective Date

06/28/2007

Expiration Date

07/31/2008

City

WILLIAMSTOWN

State

Zip

26187

Ever Disciplined

LastModifiedDate

05/03/2008