JOHN ROGER ANDERSON DO Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036112299

License Status

INACTIVE

Business

First Name

JOHN

Middle

ROGER

Last Name

ANDERSON

Suffix

Business Name

JOHN ROGER ANDERSON DO

Original Issue Date

09/09/2004

Effective Date

04/17/2008

Expiration Date

07/31/2011

City

COEUR D ALENE

State

Zip

83814

Ever Disciplined

LastModifiedDate

04/07/2011