EDWARD W ST VILLE MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036083627

License Status

ACTIVE

Business

First Name

EDWARD W

Last Name

ST VILLE

Suffix

Business Name

EDWARD W ST VILLE MD

Original Issue Date

10/16/1991

Effective Date

06/07/2023

Expiration Date

07/31/2026

City

LAKE FOREST

State

Zip

60045

County

LAKE

Ever Disciplined

LastModifiedDate

06/07/2023