CHRISTINE LEA EDEN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****65

License Status

NOT RENEWED

Business

First Name

CHRISTINE

Middle

LEA

Last Name

EDEN

Suffix

Business Name

CHRISTINE LEA EDEN MD

Original Issue Date

10/21/2016

Effective Date

04/19/2017

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60657

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021