LONNIE CLAYBORNE EDWARDS MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036030061

License Status

INACTIVE

Business

First Name

LONNIE

Middle

CLAYBORNE

Last Name

EDWARDS

Suffix

Business Name

LONNIE CLAYBORNE EDWARDS MD

Original Issue Date

07/27/1950

Effective Date

07/31/2006

Expiration Date

07/31/2008

City

CHICAGO

State

Zip

60615

County

COOK

Ever Disciplined

LastModifiedDate

05/06/2009