HEIDI FLORA ANDERSON - Medical Doctor License in Illinois | # 125052383

HEIDI FLORA ANDERSON

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125052383

License Status

EXPIRED

Business

N

First Name

HEIDI

Middle

FLORA

Last Name

ANDERSON

Business Name

HEIDI FLORA ANDERSON

Original Issue Date

06/24/2007

Effective Date

06/24/2007

Expiration Date

06/23/2008

State

IL

Specialty/Qualifier

Internal Medicine

Ever Disciplined

N

LastModifiedDate

06/26/2008