ELIJAH PELL BROADWELL DARNELL Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036176556

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

CAMBRIDGE

State

Zip

02139

Ever Disciplined

LastModifiedDate

08/12/2025