LEE E EDSTROM MD - Medical Doctor License in Illinois | # 036051374

LEE E EDSTROM MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036051374

License Status

NOT RENEWED

Business

N

First Name

LEE E

Last Name

EDSTROM

Suffix

MD

Business Name

LEE E EDSTROM MD

Original Issue Date

08/12/1975

Effective Date

08/12/1975

State

IL

Ever Disciplined

N

LastModifiedDate

09/20/2006