EDSEL IWAY MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036133914

License Status

NOT RENEWED

Business

Title

First Name

EDSEL

Last Name

IWAY

Business Name

EDSEL IWAY MD

Original Issue Date

09/04/2013

Effective Date

06/05/2014

Expiration Date

07/31/2017

City

CHICAGO

State

Zip

60610

County

COOK

Ever Disciplined

LastModifiedDate

11/01/2017