TIMOTHY R EDISON MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036078276

License Status

ACTIVE

Business

First Name

TIMOTHY R

Last Name

EDISON

Suffix

Business Name

TIMOTHY R EDISON MD

Original Issue Date

12/27/1988

Effective Date

04/17/2023

Expiration Date

07/31/2026

City

NEENAH

State

Zip

54956

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

04/17/2023