ANDREW J FEIDER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****52

License Status

NOT RENEWED

Business

First Name

ANDREW

Middle

Last Name

FEIDER

Suffix

Business Name

ANDREW J FEIDER MD

Original Issue Date

06/19/2012

Effective Date

05/12/2014

Expiration Date

07/31/2017

City

CHICAGO

State

Zip

60637

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017