ANDREW JAMES LIGHTFOOT MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****63

License Status

ACTIVE

Business

Title

First Name

ANDREW

Middle

JAMES

Last Name

LIGHTFOOT

Business Name

ANDREW JAMES LIGHTFOOT MD

Original Issue Date

08/19/2014

Effective Date

06/22/2023

Expiration Date

07/31/2026

City

MOLINE

State

Zip

61265

County

ROCK ISLAND

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/22/2023