ANDREW OWEN TODD DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****05

License Status

CANCELLED

Business

First Name

ANDREW

Middle

OWEN

Last Name

TODD

Suffix

Business Name

ANDREW OWEN TODD DO

Original Issue Date

01/28/2000

Effective Date

01/28/2000

Expiration Date

07/31/2005

City

ELMHURST

State

Zip

60126

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006