MARSHALL EDGAR PEDERSEN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****13

License Status

NOT RENEWED

Business

First Name

MARSHALL EDGAR

Last Name

PEDERSEN

Suffix

Business Name

MARSHALL EDGAR PEDERSEN MD

Original Issue Date

08/13/1987

Effective Date

08/13/1987

Expiration Date

07/31/1993

City

MCHENRY

State

Zip

60050

County

MCHENRY

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020