CHARLES KELLOGG ANDERSON MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125050891

License Status

EXPIRED

Business

First Name

CHARLES

Middle

KELLOGG

Last Name

ANDERSON

Suffix

Business Name

CHARLES KELLOGG ANDERSON MD

Original Issue Date

06/26/2009

Effective Date

06/26/2009

Expiration Date

06/25/2010

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

Obstetrics & Gynecology

Ever Disciplined

LastModifiedDate

07/08/2010