JASON ANDRADE DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125074401

License Status

EXPIRED

Business

Title

First Name

JASON

Last Name

ANDRADE

Business Name

JASON ANDRADE DO

Original Issue Date

07/01/2019

Effective Date

07/01/2019

Expiration Date

06/30/2022

City

WHEATON

State

Zip

60187

Specialty/Qualifier

Physical Medicine and Rehabilitation

Ever Disciplined

LastModifiedDate

10/11/2022