MARK ALAN EDWARDS MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****02

License Status

CANCELLED

Business

First Name

MARK ALAN

Last Name

EDWARDS

Suffix

Business Name

MARK ALAN EDWARDS MD

Original Issue Date

10/02/1985

Effective Date

10/02/1985

Expiration Date

07/31/1990

City

SPRINGFIELD

State

Zip

62708

County

SANGAMON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006