RICHARD THOMAS EDEN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036119111

License Status

ACTIVE

Business

First Name

RICHARD

Middle

THOMAS

Last Name

EDEN

Suffix

Business Name

RICHARD THOMAS EDEN MD

Original Issue Date

07/31/2007

Effective Date

05/03/2023

Expiration Date

07/31/2026

City

SPRINGFIELD

State

Zip

62702

County

SANGAMON

Ever Disciplined

LastModifiedDate

05/03/2023