RYAN DAVID PETTIT Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

LIMITED MEDICAL TEMPORARY PERMIT

License Number

130001651

License Status

EXPIRED

Business

First Name

RYAN

Middle

DAVID

Last Name

PETTIT

Business Name

RYAN DAVID PETTIT

Original Issue Date

11/12/2024

Effective Date

11/12/2024

Expiration Date

05/12/2025

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

General Surgery

Ever Disciplined

LastModifiedDate

10/29/2025