BRUCE J ANDERSON Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125020306

License Status

EXPIRED

Business

First Name

BRUCE

Middle

Last Name

ANDERSON

Business Name

BRUCE J ANDERSON

Original Issue Date

09/10/1986

Effective Date

09/10/1986

Expiration Date

06/23/1989

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

General Surgery

Ever Disciplined

LastModifiedDate

09/22/2006