ANDREW MARTIN KAZDAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****27

License Status

NOT RENEWED

Business

Title

First Name

ANDREW

Middle

MARTIN

Last Name

KAZDAN

Business Name

ANDREW MARTIN KAZDAN MD

Original Issue Date

09/19/1996

Effective Date

09/19/1996

Expiration Date

07/31/2008

City

ALTON

State

Zip

62002

County

MADISON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/11/2017