ANDREW DALE CAMPBELL MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****61

License Status

NOT RENEWED

Business

First Name

ANDREW

Middle

DALE

Last Name

CAMPBELL

Suffix

Business Name

ANDREW DALE CAMPBELL MD

Original Issue Date

06/23/1999

Effective Date

06/23/1999

Expiration Date

07/31/2002

City

CHICAGO

State

Zip

60611

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006