ANGELA K ANDERSON Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036094384

License Status

ACTIVE

Business

First Name

ANGELA K

Last Name

ANDERSON

Business Name

ANGELA K ANDERSON

Original Issue Date

10/19/1996

Effective Date

04/06/2023

Expiration Date

07/31/2026

City

CHAMPAIGN

State

Zip

61821

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

04/06/2023