EDWARD HUGH CORNELL MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****96

License Status

NOT RENEWED

Business

First Name

EDWARD HUGH

Last Name

CORNELL

Suffix

Business Name

EDWARD HUGH CORNELL MD

Original Issue Date

01/01/1997

Effective Date

06/25/2014

Expiration Date

07/31/2017

City

GODFREY

State

Zip

62035

County

MADISON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017