EDWIN KENNETH MCDONALD MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****68

License Status

ACTIVE

Business

Title

First Name

EDWIN

Middle

KENNETH

Last Name

MCDONALD

Business Name

EDWIN KENNETH MCDONALD MD

Original Issue Date

05/23/2011

Effective Date

07/27/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

PRACTITIONER

Ever Disciplined

LastModifiedDate

07/27/2023