DAISY S ANDALEON MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****12

License Status

ACTIVE

Business

First Name

DAISY S

Last Name

ANDALEON

Suffix

Business Name

DAISY S ANDALEON MD

Original Issue Date

08/23/1995

Effective Date

06/08/2023

Expiration Date

07/31/2026

City

WAUKEGAN

State

Zip

60085

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/08/2023