EDWARD A MICHELSON Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125013859

License Status

EXPIRED

Business

First Name

EDWARD A

Last Name

MICHELSON

Business Name

EDWARD A MICHELSON

Original Issue Date

06/17/1982

Effective Date

06/17/1982

Expiration Date

06/25/1984

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006