MICHAEL T EADON MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125056666

License Status

CANCELLED

Business

First Name

MICHAEL

Middle

Last Name

EADON

Suffix

Business Name

MICHAEL T EADON MD

Original Issue Date

07/01/2009

Effective Date

07/01/2009

Expiration Date

06/30/2011

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Nephrology

Ever Disciplined

LastModifiedDate

06/04/2009