NATHAN R ANDERSON MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036074383

License Status

INACTIVE

Business

First Name

NATHAN R

Last Name

ANDERSON

Suffix

Business Name

NATHAN R ANDERSON MD

Original Issue Date

01/23/1987

Effective Date

01/23/1987

Expiration Date

07/31/1996

City

BERWYN

State

Zip

60402

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006