EDWIN B PASCUAL MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****29

License Status

NOT RENEWED

Business

First Name

EDWIN

Middle

Last Name

PASCUAL

Suffix

Business Name

EDWIN B PASCUAL MD

Original Issue Date

10/27/1983

Effective Date

04/24/2017

Expiration Date

09/30/2020

City

CICERO

State

Zip

60804

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021