EDWARD JAMES GREENWALD MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036051236

License Status

NOT RENEWED

Business

First Name

EDWARD JAMES

Last Name

GREENWALD

Suffix

Business Name

EDWARD JAMES GREENWALD MD

Original Issue Date

07/10/1975

Effective Date

07/10/1975

City

FORT SILL

State

Zip

73503

County

OKLAHOMA

Ever Disciplined

LastModifiedDate

09/20/2006