JOHN EDWIN KYSAR MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****81

License Status

NOT RENEWED

Business

First Name

JOHN EDWIN

Last Name

KYSAR

Suffix

Business Name

JOHN EDWIN KYSAR MD

Original Issue Date

07/07/1993

Effective Date

07/07/1993

Expiration Date

07/31/1996

City

DECATUR

State

Zip

62585

County

MACON

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

09/26/2006