ERIN MEGAN PETTIJOHN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****76

License Status

NOT RENEWED

Business

Title

First Name

ERIN

Middle

MEGAN

Last Name

PETTIJOHN

Business Name

ERIN MEGAN PETTIJOHN MD

Original Issue Date

08/06/2014

Effective Date

08/06/2014

Expiration Date

07/31/2017

City

CHICAGO

State

Zip

60618

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017