LYDIA ANDREA BREEN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****65

License Status

NOT RENEWED

Business

First Name

LYDIA

Middle

ANDREA

Last Name

BREEN

Suffix

Business Name

LYDIA ANDREA BREEN MD

Original Issue Date

06/20/2002

Effective Date

07/29/2011

Expiration Date

07/31/2014

City

CHICAGO

State

Zip

60626

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2014