EDWARD LYLE PASSEN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036066133

License Status

ACTIVE

Business

First Name

EDWARD LYLE

Last Name

PASSEN

Suffix

Business Name

EDWARD LYLE PASSEN MD

Original Issue Date

03/03/1983

Effective Date

06/23/2023

Expiration Date

07/31/2026

City

PARK RIDGE

State

Zip

60068

County

COOK

Ever Disciplined

LastModifiedDate

06/23/2023