ANDREA D JEWELL MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036130108

License Status

NOT RENEWED

Business

Title

First Name

ANDREA

Middle

Last Name

JEWELL

Business Name

ANDREA D JEWELL MD

Original Issue Date

04/17/2012

Effective Date

05/20/2014

Expiration Date

07/31/2017

City

CHICAGO

State

Zip

60637

County

COOK

Ever Disciplined

LastModifiedDate

11/01/2017