EDITH M NEWSOME Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****12

License Status

ACTIVE

Business

First Name

EDITH

Middle

Last Name

NEWSOME

Business Name

EDITH M NEWSOME

Original Issue Date

10/21/1997

Effective Date

07/24/2023

Expiration Date

07/31/2026

City

NORTH PLATTE

State

Zip

69101

County

WINNEBAGO

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/24/2023