SHOLAH PATRICE PITTMAN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****29

License Status

ACTIVE

Business

Title

First Name

SHOLAH

Middle

PATRICE

Last Name

PITTMAN

Business Name

SHOLAH PATRICE PITTMAN MD

Original Issue Date

11/06/2024

Effective Date

11/06/2024

Expiration Date

07/31/2026

City

OTTAWA

State

Zip

61350

County

LA SALLE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/06/2024