PAUL EDWARD PEDERSEN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036059949

License Status

ACTIVE

Business

First Name

PAUL EDWARD

Last Name

PEDERSEN

Suffix

Business Name

PAUL EDWARD PEDERSEN MD

Original Issue Date

01/11/1980

Effective Date

06/01/2023

Expiration Date

07/31/2026

City

BLOOMINGTON

State

Zip

61704

County

MCLEAN

Ever Disciplined

LastModifiedDate

06/01/2023