MARK CHRISTOPHER ANDERSON MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125056112

License Status

EXPIRED

Business

Title

First Name

MARK

Middle

CHRISTOPHER

Last Name

ANDERSON

Business Name

MARK CHRISTOPHER ANDERSON MD

Original Issue Date

07/01/2009

Effective Date

07/01/2009

Expiration Date

06/30/2012

City

LA GRANGE

State

Zip

60525

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

08/29/2012