ANDREA MICHELLE KANE MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****68

License Status

ACTIVE

Business

First Name

ANDREA

Middle

MICHELLE

Last Name

KANE

Suffix

Business Name

ANDREA MICHELLE KANE MD

Original Issue Date

03/21/2008

Effective Date

04/09/2023

Expiration Date

07/31/2026

City

BLOOMINGTON

State

Zip

61704

County

MCLEAN

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/09/2023