ROBERT P ANDERSON DO - Medical Doctor License in Illinois | # 125020736

ROBERT P ANDERSON DO

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125020736

License Status

EXPIRED

Business

N

First Name

ROBERT P

Last Name

ANDERSON

Suffix

DO

Business Name

ROBERT P ANDERSON DO

Original Issue Date

05/08/1987

Effective Date

05/08/1987

Expiration Date

07/01/1990

State

IL

Specialty/Qualifier

Family Practice & OMT

Ever Disciplined

N

LastModifiedDate

09/22/2006