EDWARD G ESCHENBAUM JR MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****24

License Status

NOT RENEWED

Business

First Name

EDWARD G

Last Name

ESCHENBAUM JR

Suffix

Business Name

EDWARD G ESCHENBAUM JR MD

Original Issue Date

01/01/1997

Expiration Date

09/01/1982

City

DECATUR

State

Zip

62521

County

MACON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006