STEVEN A EDMUNDOWICZ MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****11

License Status

NOT RENEWED

Business

First Name

STEVEN

Middle

Last Name

EDMUNDOWICZ

Suffix

Business Name

STEVEN A EDMUNDOWICZ MD

Original Issue Date

12/07/1992

Effective Date

12/07/1992

Expiration Date

07/31/1996

City

BREESE

State

Zip

62230

County

CLINTON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006