EDWIN W ANDERSON MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****11

License Status

ACTIVE

Business

First Name

EDWIN W

Last Name

ANDERSON

Suffix

Business Name

EDWIN W ANDERSON MD

Original Issue Date

11/10/1987

Effective Date

05/10/2023

Expiration Date

07/31/2026

City

CAROL STREAM

State

Zip

60188

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/10/2023