DARREL R ANDERSON MD - Medical Doctor License in Illinois | # 036050216

DARREL R ANDERSON MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036050216

License Status

NOT RENEWED

Business

N

First Name

DARREL

Middle

R

Last Name

ANDERSON

Suffix

MD

Business Name

DARREL R ANDERSON MD

Original Issue Date

11/26/1974

Effective Date

06/13/2011

Expiration Date

07/31/2014

State

IL

Ever Disciplined

N

LastModifiedDate

11/17/2014