SAMUEL JUDSON ANDERSON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036035245

License Status

NOT RENEWED

Business

First Name

SAMUEL JUDSON

Last Name

ANDERSON

Suffix

Business Name

SAMUEL JUDSON ANDERSON MD

Original Issue Date

06/17/1958

Effective Date

06/17/1958

City

URBANA

State

Zip

61801

County

LAKE

Ever Disciplined

LastModifiedDate

09/20/2006