EDWIN BERNARDO TIRADO MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****00

License Status

NOT RENEWED

Business

First Name

EDWIN

Middle

BERNARDO

Last Name

TIRADO

Suffix

Business Name

EDWIN BERNARDO TIRADO MD

Original Issue Date

11/08/2004

Effective Date

08/19/2008

Expiration Date

07/31/2011

City

PEORIA

State

Zip

61602

County

PEORIA

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/10/2011