MARK PHILIP MCANDREW MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036060056

License Status

NOT RENEWED

Business

First Name

MARK PHILIP

Last Name

MCANDREW

Suffix

Business Name

MARK PHILIP MCANDREW MD

Original Issue Date

02/19/1980

Effective Date

05/17/2011

Expiration Date

07/31/2014

City

SPRINGFIELD

State

Zip

62794

County

SANGAMON

Ever Disciplined

LastModifiedDate

11/17/2014