CANDICE S ANDERSON Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125022603

License Status

EXPIRED

Business

First Name

CANDICE S

Last Name

ANDERSON

Business Name

CANDICE S ANDERSON

Original Issue Date

06/03/1988

Effective Date

06/03/1988

Expiration Date

07/01/1991

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006