ASHLEY ANN ANKLAM ANDERSON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****83

License Status

NOT RENEWED

Business

Title

First Name

ASHLEY

Middle

ANN ANKLAM

Last Name

ANDERSON

Business Name

ASHLEY ANN ANKLAM ANDERSON MD

Original Issue Date

02/25/2014

Effective Date

05/24/2017

Expiration Date

09/30/2020

City

BETTENDORF

State

Zip

52722

County

IOWA

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021