DONALD R ANDERSON MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125043587

License Status

EXPIRED

Business

Title

First Name

DONALD

Middle

Last Name

ANDERSON

Business Name

DONALD R ANDERSON MD

Original Issue Date

07/01/2001

Effective Date

07/01/2001

Expiration Date

06/30/2007

City

EVANSTON

State

Zip

60202

County

COOK

Specialty/Qualifier

Diagnostic Radiology

Ever Disciplined

LastModifiedDate

07/03/2007