MICHAEL DAVIS ANDERSON MD - Medical Doctor License in Illinois | # 125049544

MICHAEL DAVIS ANDERSON MD

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125049544

License Status

EXPIRED

Business

N

Title

MD

First Name

MICHAEL

Middle

DAVIS

Last Name

ANDERSON

Business Name

MICHAEL DAVIS ANDERSON MD

Original Issue Date

06/27/2005

Effective Date

06/27/2005

Expiration Date

06/26/2008

State

IL

Specialty/Qualifier

Emergency Medicine

Ever Disciplined

N

LastModifiedDate

07/31/2008