CATHERINE LEE EDEN MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125060434

License Status

CANCELLED

Business

Title

First Name

CATHERINE

Middle

LEE

Last Name

EDEN

Business Name

CATHERINE LEE EDEN MD

Original Issue Date

07/01/2014

Effective Date

07/01/2014

Expiration Date

06/30/2016

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Specialty/Qualifier

Urology

Ever Disciplined

LastModifiedDate

06/23/2014