EDWIN IVAN VALDEZ MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036165004

License Status

ACTIVE

Business

Title

First Name

EDWIN

Middle

IVAN

Last Name

VALDEZ

Business Name

EDWIN IVAN VALDEZ MD

Original Issue Date

06/05/2023

Effective Date

06/05/2023

Expiration Date

07/31/2026

City

ROCKFORD

State

Zip

61103

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

06/03/2023