DOUGLAS W EDGREN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036091285

License Status

NOT RENEWED

Business

First Name

DOUGLAS

Middle

Last Name

EDGREN

Suffix

Business Name

DOUGLAS W EDGREN MD

Original Issue Date

07/14/1995

Effective Date

04/18/2014

Expiration Date

07/31/2017

City

CHEYENNE

State

Zip

82009

Ever Disciplined

LastModifiedDate

11/01/2017