EDWIN L EDILLON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036057725

License Status

NOT RENEWED

Business

First Name

EDWIN L

Last Name

EDILLON

Suffix

Business Name

EDWIN L EDILLON MD

Original Issue Date

08/21/1978

Effective Date

08/21/1978

Expiration Date

07/01/1982

City

JERSEY CITY

State

Zip

07307

County

NEW JERSEY

Ever Disciplined

LastModifiedDate

09/20/2006