ANDREW A ANDRESEN MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****76

License Status

CANCELLED

Business

First Name

ANDREW A

Last Name

ANDRESEN

Suffix

Business Name

ANDREW A ANDRESEN MD

Original Issue Date

03/24/2003

Effective Date

03/24/2003

Expiration Date

07/31/2005

City

SILVIS

State

Zip

61282

County

ROCK ISLAND

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020