JOANNA GRACIE EDWARDS 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

Title

First Name

JOANNA

Middle

GRACIE

Last Name

EDWARDS

Business Name

JOANNA GRACIE EDWARDS MD

Original Issue Date

09/01/2020

Effective Date

07/27/2023

Expiration Date

07/31/2026

City

ROBINSON

State

Zip

62454

County

CRAWFORD

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/03/2025