EDESON G DAMASCO TY Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036098817

License Status

INACTIVE

Business

First Name

EDESON

Middle

Last Name

DAMASCO TY

Business Name

EDESON G DAMASCO TY

Original Issue Date

08/19/1998

Effective Date

08/19/1998

Expiration Date

07/31/1999

City

CHICAGO

State

Zip

60616

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006