PAUL DEDERICK ANDERSON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036037970

License Status

NOT RENEWED

Business

First Name

PAUL DEDERICK

Last Name

ANDERSON

Suffix

Business Name

PAUL DEDERICK ANDERSON MD

Original Issue Date

09/14/1962

Effective Date

09/14/1962

City

FORT BENNING

State

Zip

31905

County

GEORGIA

Ever Disciplined

LastModifiedDate

09/20/2006