EDWARD BRADLEY PEWITT MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125027673

License Status

EXPIRED

Business

First Name

EDWARD BRADLEY

Last Name

PEWITT

Suffix

Business Name

EDWARD BRADLEY PEWITT MD

Original Issue Date

04/20/1992

Effective Date

04/20/1992

Expiration Date

06/22/1997

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Urology

Ever Disciplined

LastModifiedDate

09/22/2006