THEODORE DURNER EDSON MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****10

License Status

ACTIVE

Business

First Name

THEODORE

Middle

DURNER

Last Name

EDSON

Suffix

Business Name

THEODORE DURNER EDSON MD

Original Issue Date

04/03/2008

Effective Date

04/08/2023

Expiration Date

07/31/2026

City

CARLSBAD

State

Zip

92010

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/08/2023