DARREL R ANDERSON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036050216

License Status

NOT RENEWED

Business

First Name

DARREL

Middle

Last Name

ANDERSON

Suffix

Business Name

DARREL R ANDERSON MD

Original Issue Date

11/26/1974

Effective Date

06/13/2011

Expiration Date

07/31/2014

City

SPRINGFIELD

State

Zip

62711

County

SANGAMON

Ever Disciplined

LastModifiedDate

11/17/2014