EDWARD LOUIS TREADWELL Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****90

License Status

CANCELLED

Business

First Name

EDWARD LOUIS

Last Name

TREADWELL

Business Name

EDWARD LOUIS TREADWELL

Original Issue Date

01/01/1997

Expiration Date

09/01/1982

City

SPRINGFIELD

State

Zip

62702

County

SANGAMON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006