BRIAN R EDLIN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****50

License Status

NOT RENEWED

Business

First Name

BRIAN R

Last Name

EDLIN

Suffix

Business Name

BRIAN R EDLIN MD

Original Issue Date

09/02/1987

Effective Date

09/02/1987

Expiration Date

07/31/1990

City

CHICAGO

State

Zip

60637

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006