KENNETH WILLIAM ANDRE MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****82

License Status

INACTIVE

Business

First Name

KENNETH WILLIAM

Last Name

ANDRE

Suffix

Business Name

KENNETH WILLIAM ANDRE MD

Original Issue Date

01/01/1997

Effective Date

07/17/2008

Expiration Date

07/31/2011

City

MOLINE

State

Zip

61265

County

ROCK ISLAND

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2011