EDWARD DALE GREAVES MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036040112

License Status

NOT RENEWED

Business

First Name

EDWARD DALE

Last Name

GREAVES

Suffix

Business Name

EDWARD DALE GREAVES MD

Original Issue Date

11/22/1965

Effective Date

11/22/1965

City

STERLING

State

Zip

61081

County

WHITESIDE

Ever Disciplined

LastModifiedDate

09/20/2006