EDWIN LEE STOCK MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****87

License Status

NOT RENEWED

Business

First Name

EDWIN

Middle

LEE

Last Name

STOCK

Suffix

Business Name

EDWIN LEE STOCK MD

Original Issue Date

03/10/1997

Effective Date

03/10/1997

Expiration Date

07/31/1999

City

EVANSTON

State

Zip

60201

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006