ANDRA KAY CICERO DO Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****35

License Status

INACTIVE

Business

First Name

ANDRA

Middle

KAY

Last Name

CICERO

Suffix

Business Name

ANDRA KAY CICERO DO

Original Issue Date

04/21/2011

Effective Date

04/21/2011

Expiration Date

07/31/2014

City

DOWNERS GROVE

State

Zip

60515

County

DUPAGE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/24/2011