MICHAEL GERALD EDWARDS III DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125078315

License Status

EXPIRED

Business

Title

First Name

MICHAEL

Middle

GERALD

Last Name

EDWARDS III

Business Name

MICHAEL GERALD EDWARDS III DO

Original Issue Date

06/22/2021

Effective Date

06/22/2021

Expiration Date

06/21/2024

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

10/30/2024