EDWIN W ANDERSON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****12

License Status

NOT RENEWED

Business

First Name

EDWIN W

Last Name

ANDERSON

Suffix

Business Name

EDWIN W ANDERSON MD

Original Issue Date

12/29/1988

Effective Date

12/29/1988

Expiration Date

07/31/1990

City

BERWYN

State

Zip

60402

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020