ANDREW TAD MCDONALD MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****05

License Status

NOT RENEWED

Business

First Name

ANDREW

Middle

TAD

Last Name

MCDONALD

Suffix

Business Name

ANDREW TAD MCDONALD MD

Original Issue Date

06/16/2005

Effective Date

06/16/2005

Expiration Date

07/31/2008

City

BELLEVILLE

State

Zip

62220

County

SAINT CLAIR

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/06/2008