ANDREW ECKLUND WEST MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****23

License Status

NOT RENEWED

Business

First Name

ANDREW

Middle

ECKLUND

Last Name

WEST

Suffix

Business Name

ANDREW ECKLUND WEST MD

Original Issue Date

07/23/2001

Effective Date

07/23/2001

Expiration Date

07/31/2008

City

CHICAGO

State

Zip

60611

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020