ANDREEA COCA MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****89

License Status

CANCELLED

Business

First Name

ANDREEA

Last Name

COCA

Suffix

Business Name

ANDREEA COCA MD

Original Issue Date

10/03/2006

Effective Date

10/03/2006

Expiration Date

07/31/2008

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Specialty/Qualifier

PRACTITIONER

Ever Disciplined

LastModifiedDate

04/17/2008