CHARLES CLYDE ANDERSON MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036033511

License Status

INACTIVE

Business

First Name

CHARLES CLYDE

Last Name

ANDERSON

Suffix

Business Name

CHARLES CLYDE ANDERSON MD

Original Issue Date

08/26/1955

Effective Date

08/26/1955

Expiration Date

07/31/1996

City

MOLINE

State

Zip

61265

County

ROCK ISLAND

Ever Disciplined

LastModifiedDate

09/20/2006