MICHAEL D ANDERSEN Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036091868

License Status

NOT RENEWED

Business

First Name

MICHAEL D

Last Name

ANDERSEN

Business Name

MICHAEL D ANDERSEN

Original Issue Date

09/19/1995

Effective Date

09/19/1995

Expiration Date

07/31/1999

City

CHICAGO

State

Zip

60613

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006