EDGAR G EICHBAUM 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

EDGAR G

Last Name

EICHBAUM

Suffix

Business Name

EDGAR G EICHBAUM MD

Original Issue Date

01/01/1997

Effective Date

06/29/2011

Expiration Date

07/31/2014

City

CHICAGO

State

Zip

60657

County

COOK

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

11/17/2014