RICHARD W ANDERSON JR MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125012787

License Status

EXPIRED

Business

First Name

RICHARD W

Last Name

ANDERSON JR

Suffix

Business Name

RICHARD W ANDERSON JR MD

Original Issue Date

06/17/1981

Effective Date

06/17/1981

Expiration Date

07/01/1983

City

CHICAGO

State

Zip

60657

County

COOK

Specialty/Qualifier

Emergency Medicine

Ever Disciplined

LastModifiedDate

09/22/2006