ANDRE LASCELLE EDWARDS MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****18

License Status

ACTIVE

Business

Title

First Name

ANDRE

Middle

LASCELLE

Last Name

EDWARDS

Business Name

ANDRE LASCELLE EDWARDS MD

Original Issue Date

04/02/2009

Effective Date

04/07/2023

Expiration Date

07/31/2026

City

NEW LENOX

State

Zip

60451

County

WILL

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2023