EDWARD S DY Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****61

License Status

CANCELLED

Business

First Name

EDWARD S

Last Name

Business Name

EDWARD S DY

Original Issue Date

01/04/1997

Effective Date

01/04/1997

Expiration Date

07/31/2008

City

AURORA

State

Zip

60504

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/17/2008