EDSEL IWAY MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125060714

License Status

CANCELLED

Business

Title

First Name

EDSEL

Last Name

IWAY

Business Name

EDSEL IWAY MD

Original Issue Date

08/24/2011

Effective Date

08/24/2011

Expiration Date

08/23/2014

City

CHICAGO

State

Zip

60657

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

08/24/2011