ROBIN ALISA EDWARDS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036110755

License Status

NOT RENEWED

Business

First Name

ROBIN

Middle

ALISA

Last Name

EDWARDS

Suffix

Business Name

ROBIN ALISA EDWARDS MD

Original Issue Date

01/29/2004

Effective Date

01/29/2004

Expiration Date

07/31/2005

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Ever Disciplined

LastModifiedDate

12/29/2009