RICHARD WAYNE ANDERSON MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036035387

License Status

INACTIVE

Business

First Name

RICHARD WAYNE

Last Name

ANDERSON

Suffix

Business Name

RICHARD WAYNE ANDERSON MD

Original Issue Date

08/20/1958

Effective Date

08/20/1958

Expiration Date

07/31/1999

City

WESTERN SPRINGS

State

Zip

60558

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006