DESMOND STALLWORTH MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036171409

License Status

ACTIVE

Business

Title

First Name

DESMOND

Last Name

STALLWORTH

Business Name

DESMOND STALLWORTH MD

Original Issue Date

08/01/2024

Effective Date

08/01/2024

Expiration Date

07/31/2026

City

HOFFMAN ESTATES

State

Zip

60169

Ever Disciplined

LastModifiedDate

08/01/2024