MA PERLA JOYCE L ANDIN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****76

License Status

NOT RENEWED

Business

First Name

MA PERLA

Middle

JOYCE L

Last Name

ANDIN

Suffix

Business Name

MA PERLA JOYCE L ANDIN MD

Original Issue Date

04/03/1996

Effective Date

04/03/1996

Expiration Date

07/31/1996

City

CHICAGO

State

Zip

60616

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006