EDNA Z MORTIMER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036025807

License Status

NOT RENEWED

Business

First Name

EDNA Z

Last Name

MORTIMER

Suffix

Business Name

EDNA Z MORTIMER MD

Original Issue Date

01/15/1944

Effective Date

01/15/1944

Expiration Date

07/31/1993

City

CHICAGO

State

Zip

60614

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006