ANDREW LESLIE EASTMAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****83

License Status

NOT RENEWED

Business

Title

First Name

ANDREW

Middle

LESLIE

Last Name

EASTMAN

Business Name

ANDREW LESLIE EASTMAN MD

Original Issue Date

06/07/2016

Effective Date

04/11/2017

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60644

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021