MARY C ANDERSON MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125028107

License Status

EXPIRED

Business

First Name

MARY C

Last Name

ANDERSON

Suffix

Business Name

MARY C ANDERSON MD

Original Issue Date

05/15/1992

Effective Date

05/15/1992

Expiration Date

06/30/1993

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006