JEFFREY D ANDERSON Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125032526

License Status

EXPIRED

Business

First Name

JEFFREY D

Last Name

ANDERSON

Business Name

JEFFREY D ANDERSON

Original Issue Date

05/11/1995

Effective Date

05/11/1995

Expiration Date

06/23/1998

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Emergency Medicine

Ever Disciplined

LastModifiedDate

09/22/2006