LINDA PARK D'ANDREA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****42

License Status

NOT RENEWED

Business

First Name

LINDA

Middle

PARK

Last Name

D'ANDREA

Suffix

Business Name

LINDA PARK D'ANDREA MD

Original Issue Date

08/14/1998

Effective Date

08/14/1998

Expiration Date

07/31/2002

City

SPRINGFIELD

State

Zip

62794

County

SANGAMON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006