EDMOND BENNET R MULDONG Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036094393

License Status

INACTIVE

Business

First Name

EDMOND BENNET R

Last Name

MULDONG

Business Name

EDMOND BENNET R MULDONG

Original Issue Date

10/19/1996

Effective Date

10/19/1996

Expiration Date

07/31/1999

City

CHICAGO

State

Zip

60657

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006