Kelly Russell Pettit
ExpiredCalifornia license A81215
License
- Licensed by
- Medical Board of California
- License number
- A81215
- Status
- Expired (Delinquent)
- First issued
- November 22, 2002
- Expired
- July 31, 2024
- License holder
- Kelly Russell Pettit
- Entity type
- Individual
Classifications
- Physician and Surgeon A Physicians & Surgeons
More from the license record
- License type code
- 8002
Contact
630 NW Silver Buckle
Bend, OR 97703-9086
Bend, OR 97703-9086
Deschutes County