ANDREW CHANDLER RADTKE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****86

License Status

NOT RENEWED

Business

Title

First Name

ANDREW

Middle

CHANDLER

Last Name

RADTKE

Business Name

ANDREW CHANDLER RADTKE MD

Original Issue Date

05/17/2019

Effective Date

05/17/2019

Expiration Date

09/30/2020

City

WAUWATOSA

State

Zip

53213

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021