LANETTA ANDERSON MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125028123

License Status

EXPIRED

Business

First Name

LANETTA

Last Name

ANDERSON

Suffix

Business Name

LANETTA ANDERSON MD

Original Issue Date

05/15/1992

Effective Date

05/15/1992

Expiration Date

06/22/1995

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Obstetrics & Gynecology

Ever Disciplined

LastModifiedDate

09/22/2006