JOHN EDWARD CODD MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****90

License Status

NOT RENEWED

Business

First Name

JOHN

Middle

EDWARD

Last Name

CODD

Suffix

Business Name

JOHN EDWARD CODD MD

Original Issue Date

12/10/1986

Effective Date

12/10/1986

Expiration Date

07/31/1993

City

BRIDGETON

State

Zip

63044

County

MISSOURI

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020