DOUGLAS EDWIN ANDERSON MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036057858

License Status

ACTIVE

Business

First Name

DOUGLAS

Middle

EDWIN

Last Name

ANDERSON

Suffix

Business Name

DOUGLAS EDWIN ANDERSON MD

Original Issue Date

10/23/1978

Effective Date

07/07/2023

Expiration Date

07/31/2026

City

OAK PARK

State

Zip

60302

County

COOK

Ever Disciplined

LastModifiedDate

07/07/2023