MARY C ANDERSON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036093122

License Status

NOT RENEWED

Business

First Name

MARY C

Last Name

ANDERSON

Suffix

Business Name

MARY C ANDERSON MD

Original Issue Date

06/08/1996

Effective Date

07/01/2014

Expiration Date

07/31/2017

City

CHICAGO

State

Zip

60612

County

COOK

Ever Disciplined

LastModifiedDate

11/01/2017