ALAN K FEDGE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****84

License Status

NOT RENEWED

Business

Title

First Name

ALAN

Middle

Last Name

FEDGE

Business Name

ALAN K FEDGE MD

Original Issue Date

01/11/2017

Effective Date

06/08/2018

Expiration Date

09/30/2020

City

NORTH LIBERTY

State

Zip

52317

County

IOWA

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021