EDWIN G AVERY IV MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036161851

License Status

ACTIVE

Business

Title

First Name

EDWIN

Middle

Last Name

AVERY

Suffix

Business Name

EDWIN G AVERY IV MD

Original Issue Date

08/08/2022

Effective Date

07/15/2023

Expiration Date

07/31/2026

City

CHAGRIN FALLS

State

Zip

44022

Ever Disciplined

LastModifiedDate

07/15/2023