EULOGIO A ANDAYA JR MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****80

License Status

NOT RENEWED

Business

Title

First Name

EULOGIO

Middle

Last Name

ANDAYA

Suffix

Business Name

EULOGIO A ANDAYA JR MD

Original Issue Date

01/01/1997

Effective Date

04/05/2011

Expiration Date

07/31/2014

City

WADSWORTH

State

Zip

60083

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2014