GREGORY M ANDERSON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036117202

License Status

NOT RENEWED

Business

First Name

GREGORY

Middle

Last Name

ANDERSON

Suffix

Business Name

GREGORY M ANDERSON MD

Original Issue Date

11/21/2006

Effective Date

04/17/2008

Expiration Date

07/31/2011

City

HIGHLAND

State

Zip

62249

County

MADISON

Ever Disciplined

LastModifiedDate

11/14/2011

Case Number

2008001920

Action

Fine

Discipline Start Date

04/13/2010

Discipline Reason

for failure to keep proper documentation in the course of issuing controlled substance prescriptions for one of the patients of his practice.