ANDREW J DEGNAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****85

License Status

NOT RENEWED

Business

Title

First Name

ANDREW

Middle

Last Name

DEGNAN

Business Name

ANDREW J DEGNAN MD

Original Issue Date

08/16/2018

Effective Date

08/16/2018

Expiration Date

09/30/2020

City

ROCKFORD

State

Zip

61102

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021