EDWIN PRIEST Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****52

License Status

NOT RENEWED

Business

First Name

EDWIN

Last Name

PRIEST

Business Name

EDWIN PRIEST

Original Issue Date

09/09/1996

Effective Date

09/09/1996

Expiration Date

07/31/2002

City

ELGIN

State

Zip

60123

County

KANE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020