MANUEL DE ANDA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****00

License Status

NOT RENEWED

Business

Title

First Name

MANUEL

Last Name

DE ANDA

Business Name

MANUEL DE ANDA MD

Original Issue Date

08/16/2007

Effective Date

08/16/2007

Expiration Date

07/31/2008

City

PARIS

State

Zip

61944

County

EDGAR

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/06/2008