TIMOTHY R EDISON MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125021164

License Status

EXPIRED

Business

First Name

TIMOTHY R

Last Name

EDISON

Suffix

Business Name

TIMOTHY R EDISON MD

Original Issue Date

06/06/1987

Effective Date

06/06/1987

Expiration Date

06/22/1990

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006