KENNETH STUART PITTLEMAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036055863

License Status

NOT RENEWED

Business

First Name

KENNETH STUART

Last Name

PITTLEMAN

Suffix

Business Name

KENNETH STUART PITTLEMAN MD

Original Issue Date

10/17/1977

Effective Date

09/17/2020

Expiration Date

07/31/2023

City

CHICAGO

State

Zip

60614

County

COOK

Ever Disciplined

LastModifiedDate

11/30/2023