EDWARD JOSEPH KANIVE DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036150233

License Status

NOT RENEWED

Business

Title

First Name

EDWARD

Middle

JOSEPH

Last Name

KANIVE

Business Name

EDWARD JOSEPH KANIVE DO

Original Issue Date

07/17/2019

Effective Date

07/17/2019

Expiration Date

09/30/2020

City

LOCKPORT

State

Zip

60441

County

WILL

Ever Disciplined

LastModifiedDate

01/14/2021