ANDRE PETER EDMONDS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****92

License Status

NOT RENEWED

Business

First Name

ANDRE PETER

Last Name

EDMONDS

Suffix

Business Name

ANDRE PETER EDMONDS MD

Original Issue Date

10/09/1981

Effective Date

10/09/1981

Expiration Date

07/31/2005

City

QUINCY

State

Zip

62301

County

ADAMS

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2011