ANDREA MICHELLE BACON MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036095103

License Status

ACTIVE

Business

First Name

ANDREA MICHELLE

Last Name

BACON

Suffix

Business Name

ANDREA MICHELLE BACON MD

Original Issue Date

03/20/1997

Effective Date

07/05/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60607

County

COOK

Ever Disciplined

LastModifiedDate

07/05/2023