EDMUND NAGEM JR MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****99

License Status

NOT RENEWED

Business

Title

First Name

EDMUND

Last Name

NAGEM

Suffix

Business Name

EDMUND NAGEM JR MD

Original Issue Date

07/24/2008

Effective Date

05/17/2012

Expiration Date

07/31/2014

City

QUINCY

State

Zip

62305

County

ADAMS

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV

Ever Disciplined

LastModifiedDate

04/08/2014