EDGARDO S EMILIA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****35

License Status

NOT RENEWED

Business

First Name

EDGARDO

Middle

Last Name

EMILIA

Suffix

Business Name

EDGARDO S EMILIA MD

Original Issue Date

12/03/1997

Effective Date

12/03/1997

Expiration Date

07/31/1999

City

CENTRALIA

State

Zip

62801

County

MARION

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020