DARNELL DEWAN PETTWAY MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125037827

License Status

EXPIRED

Business

First Name

DARNELL

Middle

DEWAN

Last Name

PETTWAY

Suffix

Business Name

DARNELL DEWAN PETTWAY MD

Original Issue Date

05/19/1998

Effective Date

05/19/1998

Expiration Date

06/30/1999

City

CHICAGO

State

Zip

60625

County

COOK

Ever Disciplined

LastModifiedDate

09/22/2006