ANDREA NICOLE WARD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125049504

License Status

EXPIRED

Business

First Name

ANDREA

Middle

NICOLE

Last Name

WARD

Business Name

ANDREA NICOLE WARD

Original Issue Date

07/01/2005

Effective Date

07/01/2005

Expiration Date

06/30/2008

City

INDUSTRY

State

Zip

04938

Specialty/Qualifier

Psychiatry

Ever Disciplined

LastModifiedDate

07/31/2008