ANDREW J SURMAK MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****99

License Status

ACTIVE

Business

First Name

ANDREW

Middle

Last Name

SURMAK

Suffix

Business Name

ANDREW J SURMAK MD

Original Issue Date

12/06/2000

Effective Date

07/22/2023

Expiration Date

07/31/2026

City

ST LOUIS PARK

State

Zip

55416

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/22/2023