GARY L ANDERSON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036066558

License Status

NOT RENEWED

Business

First Name

GARY L

Last Name

ANDERSON

Suffix

Business Name

GARY L ANDERSON MD

Original Issue Date

05/20/1983

Effective Date

04/11/2011

Expiration Date

07/31/2014

City

ROCKFORD

State

Zip

61114

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

11/17/2014