WILLIAM P ANDRISSE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****97

License Status

NOT RENEWED

Business

First Name

WILLIAM P

Last Name

ANDRISSE

Suffix

Business Name

WILLIAM P ANDRISSE MD

Original Issue Date

08/12/1987

Effective Date

06/16/2008

Expiration Date

07/31/2011

City

EAST ST LOUIS

State

Zip

62201

County

SAINT CLAIR

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/10/2011