WALLIS OLIVIA EDWARDS MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036163896

License Status

ACTIVE

Business

Title

First Name

WALLIS

Middle

OLIVIA

Last Name

EDWARDS

Business Name

WALLIS OLIVIA EDWARDS MD

Original Issue Date

03/06/2023

Effective Date

04/08/2023

Expiration Date

07/31/2026

City

ZION

State

Zip

60099

County

LAKE

Ever Disciplined

LastModifiedDate

10/25/2023