EDWARD A MICHELSON Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036067447

License Status

NOT RENEWED

Business

First Name

EDWARD A

Last Name

MICHELSON

Business Name

EDWARD A MICHELSON

Original Issue Date

08/31/1983

Effective Date

08/31/1983

Expiration Date

07/31/2005

City

CHICAGO

State

Zip

60614

County

COOK

Ever Disciplined

LastModifiedDate

10/09/2006