DESMOND STALLWORTH MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****98

License Status

ACTIVE

Business

Title

First Name

DESMOND

Last Name

STALLWORTH

Business Name

DESMOND STALLWORTH MD

Original Issue Date

08/29/2024

Effective Date

08/29/2024

Expiration Date

07/31/2026

City

ELGIN

State

Zip

60123

County

KANE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/29/2024