MAGNUS E EDOSOMWAN Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****59

License Status

ACTIVE

Business

First Name

MAGNUS E

Last Name

EDOSOMWAN

Business Name

MAGNUS E EDOSOMWAN

Original Issue Date

03/23/1993

Effective Date

05/23/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60615

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/23/2023