EDWARD PRICE ODELL HARTER MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125054593

License Status

EXPIRED

Business

Title

First Name

EDWARD

Middle

PRICE ODELL

Last Name

HARTER

Business Name

EDWARD PRICE ODELL HARTER MD

Original Issue Date

06/26/2008

Effective Date

06/26/2008

Expiration Date

06/25/2009

City

SPRINGFIELD

State

Zip

62701

County

SANGAMON

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

07/15/2009