ANDREA ELISE SPENCER MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****39

License Status

ACTIVE

Business

Title

First Name

ANDREA

Middle

ELISE

Last Name

SPENCER

Business Name

ANDREA ELISE SPENCER MD

Original Issue Date

07/19/2022

Effective Date

07/10/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60611

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/10/2023