ANNDREA DISTOR DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125086021

License Status

ACTIVE

Business

Title

First Name

ANNDREA

Last Name

DISTOR

Business Name

ANNDREA DISTOR DO

Original Issue Date

07/01/2025

Effective Date

07/01/2025

Expiration Date

06/30/2028

City

OAK LAWN

State

Zip

60453

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

05/23/2025