PROCTOR R ANDERSON MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036048243

License Status

INACTIVE

Business

First Name

PROCTOR R

Last Name

ANDERSON

Suffix

Business Name

PROCTOR R ANDERSON MD

Original Issue Date

09/19/1973

Effective Date

04/20/2017

Expiration Date

09/30/2020

City

BOULDER

State

Zip

80301

County

COOK

Ever Disciplined

LastModifiedDate

10/05/2020