MARSHALL EDGAR PEDERSEN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****07

License Status

ACTIVE

Business

First Name

MARSHALL EDGAR

Last Name

PEDERSEN

Suffix

Business Name

MARSHALL EDGAR PEDERSEN MD

Original Issue Date

02/19/2020

Effective Date

06/29/2023

Expiration Date

07/31/2026

City

CRYSTAL LAKE

State

Zip

60012

County

MCHENRY

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/29/2023