EDWARD LAWRENCE CORDER JR MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****87

License Status

CANCELLED

Business

First Name

EDWARD LAWRENCE

Last Name

CORDER JR

Suffix

Business Name

EDWARD LAWRENCE CORDER JR MD

Original Issue Date

01/01/1997

Expiration Date

07/31/2008

City

MURPHYSBORO

State

Zip

62966

County

JACKSON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/17/2008