EDWARD P DAETWYLER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036088061

License Status

NOT RENEWED

Business

First Name

EDWARD P

Last Name

DAETWYLER

Suffix

Business Name

EDWARD P DAETWYLER MD

Original Issue Date

03/01/1994

Effective Date

03/01/1994

Expiration Date

07/31/2002

City

EVANSVILLE

State

Zip

47710

County

INDIANA

Ever Disciplined

LastModifiedDate

10/09/2006