EDGAR D STAREN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****66

License Status

NOT RENEWED

Business

First Name

EDGAR D

Last Name

STAREN

Suffix

Business Name

EDGAR D STAREN MD

Original Issue Date

12/01/1988

Effective Date

07/02/2014

Expiration Date

07/31/2017

City

ZION

State

Zip

60099

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020