ANDREW LANGSTON WEST MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036161780

License Status

NOT RENEWED

Business

Title

First Name

ANDREW

Middle

LANGSTON

Last Name

WEST

Business Name

ANDREW LANGSTON WEST MD

Original Issue Date

08/02/2022

Effective Date

08/02/2022

Expiration Date

07/31/2023

City

DUNLAP

State

Zip

61525

County

PEORIA

Ever Disciplined

LastModifiedDate

11/30/2023