EDWARD W ST VILLE MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125020079

License Status

EXPIRED

Business

First Name

EDWARD W

Last Name

ST VILLE

Suffix

Business Name

EDWARD W ST VILLE MD

Original Issue Date

07/10/1986

Effective Date

07/10/1986

Expiration Date

07/01/1989

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006