License Directory

Ralph David Petty Md

Inactive

Illinois license 036037863

License

Licensed by
Illinois Department of Financial and Professional Regulation
License number
036037863
Status
Inactive
First issued
August 14, 1962
Expired
July 31, 1987
License holder
Ralph David Petty Md
Entity type
Individual

Classifications

More from the license record

Current term began
08/14/1962

Contact

Shawaho, WI 54166
Wisconsin County