License holder summary

PETTIFORD APP CANCELLED, C K is a Medical - Resident Physician licensed to practice in Georgia. The address on file for PETTIFORD APP CANCELLED, C K is 26 TANAGER PLACE, BECKLEY 25801. This doctor license is not current. The license was granted 06/10/2005 and expired on 06/30/2010.

Georgia

Composite Medical Board

PETTIFORD APP CANCELLED, C K
Medical - Resident Physician
License number
001261
Date granted
06/10/2005
Date expires
06/30/2010
Class
Medical - Resident Physician
Status
Lapsed
Address
26 TANAGER PLACE
georgiadoctors.net
ID 38119528
LAST UPDATED 2026-04-27 23:52:01 UTC

This website is unaffiliated with the Composite Medical Board. Please verify all information directly with the relevant official government authority.

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