ALAN JOSEPH ANDERSON DO - Medical Doctor License in Arizona | # 125063656

ALAN JOSEPH ANDERSON DO

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125063656

License Status

CANCELLED

Business

N

Title

DO

First Name

ALAN

Middle

JOSEPH

Last Name

ANDERSON

Business Name

ALAN JOSEPH ANDERSON DO

Original Issue Date

06/25/2013

Effective Date

06/25/2013

Expiration Date

06/24/2016

State

AZ

Specialty/Qualifier

Psychiatry

Ever Disciplined

N

LastModifiedDate

03/24/2014