MARK CHRISTOPHER ANDERSON MD - Medical Doctor License in Illinois | # 125056112

MARK CHRISTOPHER ANDERSON MD

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125056112

License Status

EXPIRED

Business

N

Title

MD

First Name

MARK

Middle

CHRISTOPHER

Last Name

ANDERSON

Business Name

MARK CHRISTOPHER ANDERSON MD

Original Issue Date

07/01/2009

Effective Date

07/01/2009

Expiration Date

06/30/2012

State

IL

Specialty/Qualifier

Family Medicine

Ever Disciplined

N

LastModifiedDate

08/29/2012