EDMUND W RAYCRAFT MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****64

License Status

NOT RENEWED

Business

First Name

EDMUND W

Last Name

RAYCRAFT

Suffix

Business Name

EDMUND W RAYCRAFT MD

Original Issue Date

06/07/1990

Effective Date

06/07/1990

Expiration Date

07/31/1993

City

DECATUR

State

Zip

62526

County

MACON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020