LONNIE CLAYBORNE EDWARDS MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****07

License Status

CANCELLED

Business

First Name

LONNIE

Middle

CLAYBORNE

Last Name

EDWARDS

Suffix

Business Name

LONNIE CLAYBORNE EDWARDS MD

Original Issue Date

09/02/1987

Effective Date

09/02/1987

Expiration Date

07/31/1990

City

CHICAGO

State

Zip

60638

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006