MARKIA LENISE PETTWAY DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125086793

License Status

ACTIVE

Business

Title

First Name

MARKIA

Middle

LENISE

Last Name

PETTWAY

Business Name

MARKIA LENISE PETTWAY DO

Original Issue Date

07/01/2025

Effective Date

07/01/2025

Expiration Date

06/30/2028

City

CHICAGO

State

Zip

60623

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

06/16/2025