EDMOND W OWEN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036117997

License Status

NOT RENEWED

Business

First Name

EDMOND

Middle

Last Name

OWEN

Suffix

Business Name

EDMOND W OWEN MD

Original Issue Date

04/03/2007

Effective Date

04/22/2014

Expiration Date

07/31/2017

City

MEMPHIS

State

Zip

38128

County

TENNESSEE

Ever Disciplined

LastModifiedDate

11/01/2017