BASIL L ANDERSON Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036078585

License Status

NOT RENEWED

Business

First Name

BASIL L

Last Name

ANDERSON

Business Name

BASIL L ANDERSON

Original Issue Date

03/18/1989

Effective Date

03/18/1989

Expiration Date

07/31/1990

City

CHAMBLEE

State

Zip

30341

County

GEORGIA

Ever Disciplined

LastModifiedDate

09/20/2006