IMELDA ANDAYA SIA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****57

License Status

ACTIVE

Business

First Name

IMELDA ANDAYA

Last Name

SIA

Suffix

Business Name

IMELDA ANDAYA SIA MD

Original Issue Date

07/03/1996

Effective Date

06/17/2023

Expiration Date

07/31/2026

City

BLOOMINGDALE

State

Zip

60108

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/17/2023