MIRANDA LYN EDMUNDS MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

VISITING RESIDENT

License Number

188000800

License Status

EXPIRED

Business

Title

First Name

MIRANDA

Middle

LYN

Last Name

EDMUNDS

Business Name

MIRANDA LYN EDMUNDS MD

Original Issue Date

03/14/2021

Effective Date

03/14/2021

Expiration Date

09/13/2021

City

CASEYVILLE

State

Zip

62232

County

SAINT CLAIR

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

10/11/2022