NATHAN R ANDERSON MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125018662

License Status

EXPIRED

Business

First Name

NATHAN R

Last Name

ANDERSON

Suffix

Business Name

NATHAN R ANDERSON MD

Original Issue Date

06/20/1985

Effective Date

06/20/1985

Expiration Date

07/01/1988

City

CHICAGO

State

Zip

60616

County

COOK

Specialty/Qualifier

Emergency Medicine

Ever Disciplined

LastModifiedDate

09/22/2006