DESMOND STALLWORTH MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125076739

License Status

CANCELLED

Business

Title

First Name

DESMOND

Last Name

STALLWORTH

Business Name

DESMOND STALLWORTH MD

Original Issue Date

06/22/2023

Effective Date

06/22/2023

Expiration Date

06/21/2024

City

HOFFMAN ESTATES

State

Zip

60169

Specialty/Qualifier

Obstetrics and Gynecology

Ever Disciplined

LastModifiedDate

06/02/2023