DOUGLAS EDWIN ANDERSON MD - Medical Doctor License in Illinois | # 036057858

DOUGLAS EDWIN ANDERSON MD

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036057858

License Status

ACTIVE

Business

N

First Name

DOUGLAS

Middle

EDWIN

Last Name

ANDERSON

Suffix

MD

Business Name

DOUGLAS EDWIN ANDERSON MD

Original Issue Date

10/23/1978

Effective Date

07/07/2023

Expiration Date

07/31/2026

State

IL

Ever Disciplined

N

LastModifiedDate

07/07/2023