ANDY J MINN MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****71

License Status

CANCELLED

Business

First Name

ANDY

Middle

Last Name

MINN

Suffix

Business Name

ANDY J MINN MD

Original Issue Date

05/31/2005

Effective Date

10/28/2008

Expiration Date

07/31/2011

City

LA GRANGE

State

Zip

60525

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2011