ANDREA NICOLE WARD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****32

License Status

ACTIVE

Business

First Name

ANDREA

Middle

NICOLE

Last Name

WARD

Business Name

ANDREA NICOLE WARD

Original Issue Date

10/26/2007

Effective Date

04/08/2023

Expiration Date

07/31/2026

City

INDUSTRY

State

Zip

04938

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/08/2023