KATHY A ANDERSON Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125016773

License Status

EXPIRED

Business

First Name

KATHY A

Last Name

ANDERSON

Business Name

KATHY A ANDERSON

Original Issue Date

06/01/1984

Effective Date

06/01/1984

Expiration Date

06/20/1986

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Ophthalmology

Ever Disciplined

LastModifiedDate

09/22/2006