MARK R EDWARDS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036115180

License Status

NOT RENEWED

Business

First Name

MARK

Middle

Last Name

EDWARDS

Suffix

Business Name

MARK R EDWARDS MD

Original Issue Date

01/31/2006

Effective Date

07/31/2006

Expiration Date

07/31/2008

City

INDIANAPOLIS

State

Zip

46278

County

MARION

Ever Disciplined

LastModifiedDate

11/06/2008