ANDREA NICOLE HAYNES MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****66

License Status

ACTIVE

Business

Title

First Name

ANDREA

Middle

NICOLE

Last Name

HAYNES

Business Name

ANDREA NICOLE HAYNES MD

Original Issue Date

03/22/2021

Effective Date

06/02/2023

Expiration Date

07/31/2026

City

OAK PARK

State

Zip

60302

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/02/2023