MICHAEL LEONARD EDELSON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****16

License Status

NOT RENEWED

Business

Title

First Name

MICHAEL

Middle

LEONARD

Last Name

EDELSON

Business Name

MICHAEL LEONARD EDELSON MD

Original Issue Date

02/20/2020

Effective Date

02/20/2020

Expiration Date

09/30/2020

City

ROBINSON

State

Zip

62454

County

CRAWFORD

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021