EDWARD P DAETWYLER MD - Medical Doctor License in Indiana | # 036088061

EDWARD P DAETWYLER MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036088061

License Status

NOT RENEWED

Business

N

First Name

EDWARD P

Last Name

DAETWYLER

Suffix

MD

Business Name

EDWARD P DAETWYLER MD

Original Issue Date

03/01/1994

Effective Date

03/01/1994

Expiration Date

07/31/2002

State

IN

Ever Disciplined

N

LastModifiedDate

10/09/2006