TORI ANNE EDMISTON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****42

License Status

NOT RENEWED

Business

Title

First Name

TORI

Middle

ANNE

Last Name

EDMISTON

Business Name

TORI ANNE EDMISTON MD

Original Issue Date

05/12/2021

Effective Date

05/12/2021

Expiration Date

07/31/2023

City

PARK RIDGE

State

Zip

60068

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/30/2023