TERESA MICHELLE EDWARDS MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125056034

License Status

CANCELLED

Business

Title

First Name

TERESA

Middle

MICHELLE

Last Name

EDWARDS

Business Name

TERESA MICHELLE EDWARDS MD

Original Issue Date

07/01/2010

Effective Date

07/01/2010

Expiration Date

06/30/2012

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

Diagnostic Radiology

Ever Disciplined

LastModifiedDate

05/04/2010