EDWIN ARELLANO DIAZ MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****38

License Status

NOT RENEWED

Business

First Name

EDWIN

Middle

ARELLANO

Last Name

DIAZ

Suffix

Business Name

EDWIN ARELLANO DIAZ MD

Original Issue Date

04/29/2002

Effective Date

04/29/2002

Expiration Date

07/31/2005

City

BELLEVILLE

State

Zip

62226

County

SAINT CLAIR

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006