VICKI LEATRICE ANDERSON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125044700

License Status

NOT RENEWED

Business

First Name

VICKI

Middle

LEATRICE

Last Name

ANDERSON

Suffix

Business Name

VICKI LEATRICE ANDERSON MD

Original Issue Date

08/21/2006

Effective Date

08/21/2006

Expiration Date

10/20/2006

City

CHICAGO

State

Zip

60611

Ever Disciplined

LastModifiedDate

03/02/2009