EDWARD K PANOPIO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****14

License Status

CANCELLED

Business

First Name

EDWARD

Middle

Last Name

PANOPIO

Business Name

EDWARD K PANOPIO

Original Issue Date

06/29/1999

Effective Date

06/29/1999

Expiration Date

07/31/2008

City

BLOOMINGTON

State

Zip

61704

County

MCLEAN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/17/2008