ALEXANDER D PEDERSON Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****05

License Status

NOT RENEWED

Business

First Name

ALEXANDER

Middle

Last Name

PEDERSON

Business Name

ALEXANDER D PEDERSON

Original Issue Date

08/09/2010

Effective Date

05/03/2011

Expiration Date

07/31/2014

City

BELLEVILLE

State

Zip

62220

County

SAINT CLAIR

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/12/2017