TIMOTHY R EDISON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****39

License Status

NOT RENEWED

Business

First Name

TIMOTHY R

Last Name

EDISON

Suffix

Business Name

TIMOTHY R EDISON MD

Original Issue Date

03/09/1989

Effective Date

05/16/2017

Expiration Date

09/30/2020

City

OAKBROOK TERRACE

State

Zip

60181

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021