ALLAN D ANDERSON MD - Medical Doctor License in Illinois | # 125019309

ALLAN D ANDERSON MD

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125019309

License Status

EXPIRED

Business

N

First Name

ALLAN

Middle

D

Last Name

ANDERSON

Suffix

MD

Business Name

ALLAN D ANDERSON MD

Original Issue Date

06/03/1986

Effective Date

06/03/1986

Expiration Date

07/01/1989

State

IL

Specialty/Qualifier

Addiction Psychiatry

Ever Disciplined

N

LastModifiedDate

09/22/2006