EDWARD BRADLEY PEWITT MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036095514

License Status

NOT RENEWED

Business

First Name

EDWARD BRADLEY

Last Name

PEWITT

Suffix

Business Name

EDWARD BRADLEY PEWITT MD

Original Issue Date

05/27/1997

Effective Date

05/27/1997

Expiration Date

07/31/1999

City

CHICAGO

State

Zip

60615

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006