ANDREW J ZIDOW MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****67

License Status

ACTIVE

Business

Title

First Name

ANDREW

Middle

Last Name

ZIDOW

Business Name

ANDREW J ZIDOW MD

Original Issue Date

10/27/2014

Effective Date

04/17/2023

Expiration Date

07/31/2026

City

PERU

State

Zip

61354

County

LA SALLE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/17/2023