EDWIN MELENCIO POSADAS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****32

License Status

NOT RENEWED

Business

First Name

EDWIN

Middle

MELENCIO

Last Name

POSADAS

Suffix

Business Name

EDWIN MELENCIO POSADAS MD

Original Issue Date

07/14/2005

Effective Date

06/25/2008

Expiration Date

07/31/2011

City

CHICAGO

State

Zip

60637

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/10/2011