MELVIN JOSEPH ANDERSON DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036035845

License Status

NOT RENEWED

Business

First Name

MELVIN JOSEPH

Last Name

ANDERSON

Suffix

Business Name

MELVIN JOSEPH ANDERSON DO

Original Issue Date

01/01/1997

Expiration Date

07/31/2002

City

FREEPORT

State

Zip

61032

County

STEPHENSON

Ever Disciplined

LastModifiedDate

10/09/2006