MARK PHILIP MCANDREW MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****38

License Status

NOT RENEWED

Business

First Name

MARK PHILIP

Last Name

MCANDREW

Suffix

Business Name

MARK PHILIP MCANDREW MD

Original Issue Date

06/04/2002

Effective Date

05/17/2011

Expiration Date

07/31/2014

City

SPRINGFIELD

State

Zip

62794

County

SANGAMON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2014