MICHAEL LADD EDGEWORTH MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036160485

License Status

ACTIVE

Business

Title

First Name

MICHAEL

Middle

LADD

Last Name

EDGEWORTH

Business Name

MICHAEL LADD EDGEWORTH MD

Original Issue Date

05/05/2022

Effective Date

06/13/2023

Expiration Date

07/31/2026

City

MENLO PARK

State

Zip

94025

Ever Disciplined

LastModifiedDate

06/13/2023