LEE E EDSTROM MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036051374

License Status

NOT RENEWED

Business

First Name

LEE E

Last Name

EDSTROM

Suffix

Business Name

LEE E EDSTROM MD

Original Issue Date

08/12/1975

Effective Date

08/12/1975

City

CHICAGO

State

Zip

60637

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006