EDWIN R WILLGRESS MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036089610

License Status

INACTIVE

Business

Title

First Name

EDWIN

Middle

Last Name

WILLGRESS

Business Name

EDWIN R WILLGRESS MD

Original Issue Date

09/08/1994

Effective Date

05/24/2011

Expiration Date

07/31/2014

City

MUNDELEIN

State

Zip

60060

County

LAKE

Ever Disciplined

LastModifiedDate

04/08/2014