MARK R EDWARDS MD - Medical Doctor License in Indiana | # 036115180

MARK R EDWARDS MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036115180

License Status

NOT RENEWED

Business

N

First Name

MARK

Middle

R

Last Name

EDWARDS

Suffix

MD

Business Name

MARK R EDWARDS MD

Original Issue Date

01/31/2006

Effective Date

07/31/2006

Expiration Date

07/31/2008

State

IN

Ever Disciplined

N

LastModifiedDate

11/06/2008