BARRY D ANDERSON MD - Medical Doctor License in Illinois | # 125020585

BARRY D ANDERSON MD

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125020585

License Status

EXPIRED

Business

N

First Name

BARRY D

Last Name

ANDERSON

Suffix

MD

Business Name

BARRY D ANDERSON MD

Original Issue Date

05/02/1987

Effective Date

05/02/1987

Expiration Date

06/24/1990

State

IL

Specialty/Qualifier

Pediatrics

Ever Disciplined

N

LastModifiedDate

09/22/2006