RENE M ANDERSON Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125019213

License Status

EXPIRED

Business

First Name

RENE

Middle

Last Name

ANDERSON

Business Name

RENE M ANDERSON

Original Issue Date

05/22/1986

Effective Date

05/22/1986

Expiration Date

06/23/1989

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006