EDWARD DORAN MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****19

License Status

CANCELLED

Business

First Name

EDWARD

Last Name

DORAN

Suffix

Business Name

EDWARD DORAN MD

Original Issue Date

04/01/1983

Effective Date

04/01/1983

Expiration Date

07/31/1984

City

WOODRIDGE

State

Zip

60517

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020