STEPHANIE L ANDERSON - Medical Doctor License in Illinois | # 036106405

STEPHANIE L ANDERSON

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036106405

License Status

NOT RENEWED

Business

N

First Name

STEPHANIE

Middle

L

Last Name

ANDERSON

Business Name

STEPHANIE L ANDERSON

Original Issue Date

03/01/2002

Effective Date

03/01/2002

Expiration Date

07/31/2005

State

IL

Ever Disciplined

N

LastModifiedDate

10/09/2006