EUGENE MANDREA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****86

License Status

NOT RENEWED

Business

Title

First Name

EUGENE

Last Name

MANDREA

Business Name

EUGENE MANDREA MD

Original Issue Date

07/23/1990

Effective Date

07/23/1990

Expiration Date

07/31/1996

City

GLEN ELLYN

State

Zip

60137

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020