KYRIE SOFIA ANDERSON MD - Medical Doctor License in Illinois | # 125082644

KYRIE SOFIA ANDERSON MD

Business Entity

ACTIVE

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125082644

License Status

ACTIVE

Business

N

Title

MD

First Name

KYRIE

Middle

SOFIA

Last Name

ANDERSON

Business Name

KYRIE SOFIA ANDERSON MD

Original Issue Date

06/23/2023

Effective Date

06/23/2023

Expiration Date

06/22/2026

State

IL

Specialty/Qualifier

Pediatrics

Ever Disciplined

N

LastModifiedDate

04/03/2023