HEIDI FLORA ANDERSON Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125052383

License Status

EXPIRED

Business

First Name

HEIDI

Middle

FLORA

Last Name

ANDERSON

Business Name

HEIDI FLORA ANDERSON

Original Issue Date

06/24/2007

Effective Date

06/24/2007

Expiration Date

06/23/2008

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

06/26/2008