EDWARD GEORGE FERENCE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****68

License Status

NOT RENEWED

Business

First Name

EDWARD GEORGE

Last Name

FERENCE

Suffix

Business Name

EDWARD GEORGE FERENCE MD

Original Issue Date

01/01/1997

Expiration Date

07/31/2008

City

SPRINGFIELD

State

Zip

62702

County

SANGAMON

Controlled Substance Schedule

II III V

Ever Disciplined

LastModifiedDate

11/06/2008