JUSTIN RYAN ANDRADA DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****83

License Status

ACTIVE

Business

Title

First Name

JUSTIN RYAN

Last Name

ANDRADA

Business Name

JUSTIN RYAN ANDRADA DO

Original Issue Date

09/08/2025

Effective Date

09/08/2025

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60657

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/20/2025