EDNA MAE WARD LONGWELL MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036018974

License Status

NOT RENEWED

Business

First Name

EDNA MAE WARD

Last Name

LONGWELL

Suffix

Business Name

EDNA MAE WARD LONGWELL MD

Original Issue Date

08/21/1931

Effective Date

08/21/1931

City

COBDEN

State

Zip

62920

County

UNION

Ever Disciplined

LastModifiedDate

09/20/2006