IMELDA ANDAYA SIA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****56

License Status

NOT RENEWED

Business

First Name

IMELDA ANDAYA

Last Name

SIA

Suffix

Business Name

IMELDA ANDAYA SIA MD

Original Issue Date

11/10/1993

Effective Date

11/10/1993

Expiration Date

07/31/1999

City

BLOOMINDALE

State

Zip

60108

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020