EDWARD PAUL RAINES 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

Title

First Name

EDWARD

Middle

PAUL

Last Name

RAINES

Business Name

EDWARD PAUL RAINES MD

Original Issue Date

04/18/2012

Effective Date

04/18/2012

Expiration Date

07/31/2014

City

ROCKFORD

State

Zip

61103

County

WINNEBAGO

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

I II III IV V

Ever Disciplined

LastModifiedDate

06/06/2022