STEVEN MICHAEL INDRA DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****18

License Status

NOT RENEWED

Business

Title

First Name

STEVEN

Middle

MICHAEL

Last Name

INDRA

Business Name

STEVEN MICHAEL INDRA DO

Original Issue Date

02/01/2012

Effective Date

02/01/2012

Expiration Date

07/31/2014

City

HARVARD

State

Zip

60033

County

MCHENRY

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2014