AMY ELIZABETH ANDERSEN MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036105174

License Status

INACTIVE

Business

First Name

AMY

Middle

ELIZABETH

Last Name

ANDERSEN

Suffix

Business Name

AMY ELIZABETH ANDERSEN MD

Original Issue Date

07/11/2001

Effective Date

07/11/2001

Expiration Date

07/31/2002

City

ELDRIDGE

State

Zip

52748

County

IOWA

Ever Disciplined

LastModifiedDate

10/09/2006