MINA KANTROVICH EDELMAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****94

License Status

NOT RENEWED

Business

First Name

MINA KANTROVICH

Last Name

EDELMAN

Suffix

Business Name

MINA KANTROVICH EDELMAN MD

Original Issue Date

01/01/1997

Expiration Date

07/31/1993

City

BREESE

State

Zip

62230

County

CLINTON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006