JOHN EDEEN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036094469

License Status

NOT RENEWED

Business

First Name

JOHN

Last Name

EDEEN

Suffix

Business Name

JOHN EDEEN MD

Original Issue Date

11/01/1996

Effective Date

11/01/1996

Expiration Date

07/31/1999

City

SOUTH DEERFIELD

State

Zip

01373

County

MASSACHUSETTS

Ever Disciplined

LastModifiedDate

09/20/2006