GENENE PETTWAY RADDEN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036115968

License Status

ACTIVE

Business

Title

First Name

GENENE

Middle

PETTWAY

Last Name

RADDEN

Business Name

GENENE PETTWAY RADDEN MD

Original Issue Date

05/18/2006

Effective Date

07/22/2023

Expiration Date

07/31/2026

City

CHAMPAIGN

State

Zip

61822

County

MCLEAN

Ever Disciplined

LastModifiedDate

07/22/2023