ANDREA JADE ALVAREZ DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****26

License Status

NOT RENEWED

Business

Title

First Name

ANDREA

Middle

JADE

Last Name

ALVAREZ

Business Name

ANDREA JADE ALVAREZ DO

Original Issue Date

07/02/2018

Effective Date

07/02/2018

Expiration Date

09/30/2020

City

CARBONDALE

State

Zip

62901

County

JACKSON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021