DANIELLE L ANDERSON - Medical Doctor License in Illinois | # 125044708

DANIELLE L ANDERSON

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125044708

License Status

EXPIRED

Business

N

First Name

DANIELLE

Middle

L

Last Name

ANDERSON

Business Name

DANIELLE L ANDERSON

Original Issue Date

06/24/2002

Effective Date

06/24/2002

Expiration Date

06/23/2006

State

IL

Specialty/Qualifier

Psychiatry

Ever Disciplined

N

LastModifiedDate

09/22/2006