R ERIK EDENS MD 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

Middle

ERIK

Last Name

EDENS

Suffix

Business Name

R ERIK EDENS MD

Original Issue Date

05/22/2007

Effective Date

05/26/2011

Expiration Date

07/31/2014

City

MOLINE

State

Zip

61244

County

ROCK ISLAND

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2014