EDWARD WEST DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036069400

License Status

NOT RENEWED

Business

First Name

EDWARD

Last Name

WEST

Suffix

Business Name

EDWARD WEST DO

Original Issue Date

08/24/1984

Effective Date

08/24/1984

Expiration Date

07/31/1990

City

CHICAGO

State

Zip

60621

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006