EDWIN IVAN VALDEZ MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125075387

License Status

CANCELLED

Business

Title

First Name

EDWIN

Middle

IVAN

Last Name

VALDEZ

Business Name

EDWIN IVAN VALDEZ MD

Original Issue Date

07/01/2020

Effective Date

07/01/2020

Expiration Date

06/30/2023

City

ROCKFORD

State

Zip

61103

County

WINNEBAGO

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

02/13/2020