JEFFREY SCOTT EDWARDS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****34

License Status

NOT RENEWED

Business

Title

First Name

JEFFREY

Middle

SCOTT

Last Name

EDWARDS

Business Name

JEFFREY SCOTT EDWARDS MD

Original Issue Date

08/05/2013

Effective Date

07/11/2017

Expiration Date

09/30/2020

City

PERU

State

Zip

61354

County

LA SALLE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021