JOSEPH MICHAEL ANDERSON MD - Medical Doctor License in Illinois | # 125038662

JOSEPH MICHAEL ANDERSON MD

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125038662

License Status

EXPIRED

Business

N

First Name

JOSEPH

Middle

MICHAEL

Last Name

ANDERSON

Suffix

MD

Business Name

JOSEPH MICHAEL ANDERSON MD

Original Issue Date

06/29/1998

Effective Date

06/29/1998

Expiration Date

06/30/2002

State

IL

Specialty/Qualifier

Pathology

Ever Disciplined

N

LastModifiedDate

09/22/2006