EDGAR RAINER-MAR MARR Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****22

License Status

NOT RENEWED

Business

First Name

EDGAR RAINER-MAR

Last Name

MARR

Business Name

EDGAR RAINER-MAR MARR

Original Issue Date

07/09/1990

Effective Date

07/09/1990

Expiration Date

07/31/1993

City

FARMINGTON

State

Zip

61531

County

FULTON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006