ISAIAH PITTMAN IV MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****96

License Status

ACTIVE

Business

First Name

ISAIAH

Last Name

PITTMAN

Suffix

IV MD

Business Name

ISAIAH PITTMAN IV MD

Original Issue Date

06/23/2020

Effective Date

04/27/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60644

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/27/2023