ANNA MICHELLE EDMISTON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036146283

License Status

NOT RENEWED

Business

Title

First Name

ANNA

Middle

MICHELLE

Last Name

EDMISTON

Business Name

ANNA MICHELLE EDMISTON MD

Original Issue Date

05/23/2018

Effective Date

05/23/2018

Expiration Date

09/30/2020

City

AURORA

State

Zip

80045

Ever Disciplined

LastModifiedDate

01/14/2021