ANDREW LEE VINCENT DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036131553

License Status

ACTIVE

Business

Title

First Name

ANDREW

Middle

LEE

Last Name

VINCENT

Business Name

ANDREW LEE VINCENT DO

Original Issue Date

10/05/2012

Effective Date

08/20/2024

Expiration Date

07/31/2026

City

POCATELLO

State

Zip

83204

Ever Disciplined

LastModifiedDate

08/20/2024