ANDREA OCAMPO COLADA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****09

License Status

NOT RENEWED

Business

First Name

ANDREA

Middle

OCAMPO

Last Name

COLADA

Suffix

Business Name

ANDREA OCAMPO COLADA MD

Original Issue Date

01/24/2007

Effective Date

01/24/2007

Expiration Date

07/31/2008

City

LAGRANGE

State

Zip

60525

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/06/2008