RURIC CLESBY ANDERSON III MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125030035

License Status

EXPIRED

Business

First Name

RURIC

Middle

CLESBY

Last Name

ANDERSON

Suffix

III MD

Business Name

RURIC CLESBY ANDERSON III MD

Original Issue Date

06/01/1993

Effective Date

06/01/1993

Expiration Date

06/23/1996

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006