ELIZABETH ALEXANDRA EDWARDS MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****07

License Status

ACTIVE

Business

Title

First Name

ELIZABETH

Middle

ALEXANDRA

Last Name

EDWARDS

Business Name

ELIZABETH ALEXANDRA EDWARDS MD

Original Issue Date

09/24/2022

Effective Date

05/24/2023

Expiration Date

07/31/2026

City

PEORIA

State

Zip

61605

County

SANGAMON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/24/2023