SHANNON C PETTIT MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036165765

License Status

ACTIVE

Business

Title

First Name

SHANNON

Middle

Last Name

PETTIT

Business Name

SHANNON C PETTIT MD

Original Issue Date

07/06/2023

Effective Date

07/06/2023

Expiration Date

07/31/2026

City

ELMHURST

State

Zip

60126

County

DUPAGE

Ever Disciplined

LastModifiedDate

06/27/2023