ELENA EDWARDS Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125048333

License Status

EXPIRED

Business

First Name

ELENA

Last Name

EDWARDS

Business Name

ELENA EDWARDS

Original Issue Date

07/01/2004

Effective Date

07/01/2004

Expiration Date

06/30/2007

City

AURORA

State

Zip

60504

County

DUPAGE

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

07/03/2007