EDWARD D STAPLES Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

VISITING PHYSICIAN PERMIT

License Number

106000006

License Status

EXPIRED

Business

First Name

EDWARD

Middle

Last Name

STAPLES

Business Name

EDWARD D STAPLES

Original Issue Date

12/02/1993

Effective Date

12/02/1993

Expiration Date

04/01/1994

City

MAYWOOD

State

Zip

60153

County

COOK

Ever Disciplined

LastModifiedDate

09/23/2006