CHRISTINE LEA EDEN MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125063695

License Status

CANCELLED

Business

First Name

CHRISTINE

Middle

LEA

Last Name

EDEN

Suffix

Business Name

CHRISTINE LEA EDEN MD

Original Issue Date

06/25/2013

Effective Date

06/25/2013

Expiration Date

06/24/2016

City

CHICAGO

State

Zip

60657

County

COOK

Specialty/Qualifier

General Surgery

Ever Disciplined

LastModifiedDate

03/24/2014