PAUL ST ANTHONY EDWARDS MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****34

License Status

ACTIVE

Business

Title

First Name

PAUL

Middle

ST ANTHONY

Last Name

EDWARDS

Business Name

PAUL ST ANTHONY EDWARDS MD

Original Issue Date

10/05/2011

Effective Date

07/28/2023

Expiration Date

07/31/2026

City

CHAMPAIGN

State

Zip

61821

County

MARION

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/28/2023