ELIJAH PELL BROADWELL DARNELL Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****85

License Status

ACTIVE

Business

First Name

ELIJAH

Middle

PELL BROADWELL

Last Name

DARNELL

Business Name

ELIJAH PELL BROADWELL DARNELL

Original Issue Date

08/12/2025

Effective Date

08/12/2025

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/19/2025