RUSSELL L ANDERSON MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036059808

License Status

INACTIVE

Business

First Name

RUSSELL L

Last Name

ANDERSON

Suffix

Business Name

RUSSELL L ANDERSON MD

Original Issue Date

12/12/1979

Effective Date

12/12/1979

Expiration Date

07/31/1996

City

HOMESTEAD

State

Zip

33034

County

FLORIDA

Ever Disciplined

LastModifiedDate

09/20/2006