EDWARD F EWEN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036075203

License Status

NOT RENEWED

Business

First Name

EDWARD F

Last Name

EWEN

Suffix

Business Name

EDWARD F EWEN MD

Original Issue Date

06/22/1987

Effective Date

06/22/1987

Expiration Date

07/31/1990

City

CHICAGO

State

Zip

60614

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006