RICHARD C ANDERSON MD - Medical Doctor License in Illinois | # 125028032

RICHARD C ANDERSON MD

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125028032

License Status

EXPIRED

Business

N

First Name

RICHARD C

Last Name

ANDERSON

Suffix

MD

Business Name

RICHARD C ANDERSON MD

Original Issue Date

05/13/1992

Effective Date

05/13/1992

Expiration Date

06/30/1997

State

IL

Specialty/Qualifier

Addiction Psychiatry

Ever Disciplined

N

LastModifiedDate

09/22/2006