License holder summary

Russell Warren Petty is a Medical - Physician And Surgeon licensed to practice in Minnesota. The address on file for Russell Warren Petty is Lake Region Clinic, 8th St at 10th Ave, Devils Lake, ND 58301. This doctor license is not current. The license was granted 02/25/1977 and expired on 12/31/1981.

Department of Safety and Professional Services

Board of Medical Practice

Russell Warren Petty
Medical - Physician And Surgeon
License number
23148
Date granted
02/25/1977
Date expires
12/31/1981
Class
Medical - Physician And Surgeon
Status
Canceled
Address
Lake Region Clinic, 8th St at 10th Ave, Devils Lake, ND 58301
doctorsminnesota.org
ID 22277247
LAST UPDATED 2024-03-29 23:10:26 UTC

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

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