MARK JAY ANDERSON Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125015701

License Status

EXPIRED

Business

First Name

MARK JAY

Last Name

ANDERSON

Business Name

MARK JAY ANDERSON

Original Issue Date

06/15/1983

Effective Date

06/15/1983

Expiration Date

06/19/1985

City

BERWYN

State

Zip

60402

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006