MICHAEL RICHARD ANDER MD - Medical Doctor License in Illinois | # 125056115

MICHAEL RICHARD ANDER MD

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125056115

License Status

CANCELLED

Business

N

Title

MD

First Name

MICHAEL

Middle

RICHARD

Last Name

ANDER

Business Name

MICHAEL RICHARD ANDER MD

Original Issue Date

07/01/2010

Effective Date

07/01/2010

Expiration Date

06/30/2012

State

IL

Specialty/Qualifier

Anesthesiology

Ever Disciplined

N

LastModifiedDate

05/03/2010