HENRY CHRYSTIAN ANDERSON MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036034177

License Status

INACTIVE

Business

First Name

HENRY

Middle

CHRYSTIAN

Last Name

ANDERSON

Suffix

Business Name

HENRY CHRYSTIAN ANDERSON MD

Original Issue Date

08/17/1956

Effective Date

08/17/1956

Expiration Date

07/31/2002

City

ROCKFORD

State

Zip

61114

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/09/2006