EDWIN SANTA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036119401

License Status

ACTIVE

Business

First Name

EDWIN

Last Name

SANTA

Suffix

Business Name

EDWIN SANTA MD

Original Issue Date

09/14/2007

Effective Date

07/19/2023

Expiration Date

07/31/2026

City

RIVER FOREST

State

Zip

60305

County

COOK

Ever Disciplined

LastModifiedDate

07/19/2023