EDGAR KING COLLISON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036123096

License Status

NOT RENEWED

Business

First Name

EDGAR

Middle

KING

Last Name

COLLISON

Suffix

Business Name

EDGAR KING COLLISON MD

Original Issue Date

04/07/2009

Effective Date

04/07/2009

Expiration Date

07/31/2011

City

GREEN BAY

State

Zip

54301

County

BROWN

Ever Disciplined

LastModifiedDate

11/14/2011