PHILIP ROBERT ANDREOLI DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****88

License Status

NOT RENEWED

Business

Title

First Name

PHILIP

Middle

ROBERT

Last Name

ANDREOLI

Business Name

PHILIP ROBERT ANDREOLI DO

Original Issue Date

05/11/2016

Effective Date

06/21/2017

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60613

County

DUPAGE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021