EDWARD LEE LANGSTON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****98

License Status

NOT RENEWED

Business

First Name

EDWARD LEE

Last Name

LANGSTON

Suffix

Business Name

EDWARD LEE LANGSTON MD

Original Issue Date

07/16/1996

Effective Date

07/16/1996

Expiration Date

07/31/2005

City

ROCK ISLAND

State

Zip

61201

County

ROCK ISLAND

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006