ANDREW NICHOLAS RISNER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****94

License Status

NOT RENEWED

Business

First Name

ANDREW

Middle

NICHOLAS

Last Name

RISNER

Suffix

Business Name

ANDREW NICHOLAS RISNER MD

Original Issue Date

04/24/2001

Effective Date

04/24/2001

Expiration Date

07/31/2005

City

GENEVA

State

Zip

60134

County

KANE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006