CARMEN LISA ANDERSON MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125040961

License Status

EXPIRED

Business

First Name

CARMEN

Middle

LISA

Last Name

ANDERSON

Suffix

Business Name

CARMEN LISA ANDERSON MD

Original Issue Date

07/01/2000

Effective Date

07/01/2000

Expiration Date

06/30/2004

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

Diagnostic Radiology

Ever Disciplined

LastModifiedDate

09/22/2006