ANDREA LYNN DESTORIES MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****31

License Status

NOT RENEWED

Business

Title

First Name

ANDREA

Middle

LYNN

Last Name

DESTORIES

Business Name

ANDREA LYNN DESTORIES MD

Original Issue Date

07/18/2018

Effective Date

07/18/2018

Expiration Date

09/30/2020

City

CARSON CITY

State

Zip

89706

County

NEVADA

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021