ANDREW THOMAS BRIDGE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****70

License Status

NOT RENEWED

Business

Title

First Name

ANDREW

Middle

THOMAS

Last Name

BRIDGE

Business Name

ANDREW THOMAS BRIDGE MD

Original Issue Date

08/17/2010

Effective Date

08/17/2010

Expiration Date

07/31/2011

City

INDIANAPOLIS

State

Zip

46228

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

04/05/2020