DEBORAH SUSAN EDGE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036052064

License Status

NOT RENEWED

Business

First Name

DEBORAH SUSAN

Last Name

EDGE

Suffix

Business Name

DEBORAH SUSAN EDGE MD

Original Issue Date

11/14/1975

Effective Date

11/14/1975

Expiration Date

07/31/1987

City

WINNETKA

State

Zip

60093

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006