PAUL EDWARD PEDERSEN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****41

License Status

NOT RENEWED

Business

First Name

PAUL EDWARD

Last Name

PEDERSEN

Suffix

Business Name

PAUL EDWARD PEDERSEN MD

Original Issue Date

07/06/1994

Effective Date

07/06/1994

Expiration Date

07/31/2008

City

NORMAL

State

Zip

61761

County

MCLEAN

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

04/05/2020