BRAD D ANDERSON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036074526

License Status

NOT RENEWED

Business

First Name

BRAD D

Last Name

ANDERSON

Suffix

Business Name

BRAD D ANDERSON MD

Original Issue Date

03/02/1987

Effective Date

03/02/1987

Expiration Date

07/31/1990

City

LAGRANGE

State

Zip

60525

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006