BRIAN L ANDERSON MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125029494

License Status

EXPIRED

Business

First Name

BRIAN L

Last Name

ANDERSON

Suffix

Business Name

BRIAN L ANDERSON MD

Original Issue Date

05/07/1993

Effective Date

05/07/1993

Expiration Date

06/20/1996

City

AURORA

State

Zip

60504

County

KANE

Specialty/Qualifier

Diagnostic Radiology

Ever Disciplined

LastModifiedDate

09/22/2006