BRIAN L ANDERSON MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036091151

License Status

INACTIVE

Business

First Name

BRIAN L

Last Name

ANDERSON

Suffix

Business Name

BRIAN L ANDERSON MD

Original Issue Date

07/03/1995

Effective Date

07/03/1995

Expiration Date

07/31/2005

City

TAMPA

State

Zip

33626

County

FLORIDA

Ever Disciplined

LastModifiedDate

10/09/2006