PAUL ST ANTHONY EDWARDS MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125032902

License Status

EXPIRED

Business

Title

First Name

PAUL

Middle

ST ANTHONY

Last Name

EDWARDS

Business Name

PAUL ST ANTHONY EDWARDS MD

Original Issue Date

06/01/1995

Effective Date

06/01/1995

Expiration Date

06/21/1998

City

CHICAGO

State

Zip

60640

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006