MICHAEL DAVIS ANDERSON MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125049544

License Status

EXPIRED

Business

Title

First Name

MICHAEL

Middle

DAVIS

Last Name

ANDERSON

Business Name

MICHAEL DAVIS ANDERSON MD

Original Issue Date

06/27/2005

Effective Date

06/27/2005

Expiration Date

06/26/2008

City

CHICAGO

State

Zip

60617

Specialty/Qualifier

Emergency Medicine

Ever Disciplined

LastModifiedDate

07/31/2008