EDMUND W RAYCRAFT MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****65

License Status

ACTIVE

Business

First Name

EDMUND W

Last Name

RAYCRAFT

Suffix

Business Name

EDMUND W RAYCRAFT MD

Original Issue Date

07/02/1990

Effective Date

05/18/2023

Expiration Date

07/31/2026

City

DECATUR

State

Zip

62526

County

MACON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/18/2023