EDMUND H ERNST MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036051375

License Status

NOT RENEWED

Business

First Name

EDMUND H

Last Name

ERNST

Suffix

Business Name

EDMUND H ERNST MD

Original Issue Date

08/12/1975

Effective Date

08/12/1975

City

PEORIA

State

Zip

61614

County

PEORIA

Ever Disciplined

LastModifiedDate

09/20/2006