ANDREA D ESCOBAR MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****89

License Status

ACTIVE

Business

Title

First Name

ANDREA

Middle

Last Name

ESCOBAR

Business Name

ANDREA D ESCOBAR MD

Original Issue Date

12/01/2023

Effective Date

12/01/2023

Expiration Date

07/31/2026

City

PEORIA

State

Zip

61605

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

12/01/2023