ERIC MARTIN EDWARDS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****71

License Status

NOT RENEWED

Business

Title

First Name

ERIC

Middle

MARTIN

Last Name

EDWARDS

Business Name

ERIC MARTIN EDWARDS MD

Original Issue Date

07/26/2011

Effective Date

05/16/2014

Expiration Date

07/31/2017

City

CHICAGO

State

Zip

60657

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017