MICHAEL RICHARD ANDER MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125056115

License Status

CANCELLED

Business

Title

First Name

MICHAEL

Middle

RICHARD

Last Name

ANDER

Business Name

MICHAEL RICHARD ANDER MD

Original Issue Date

07/01/2010

Effective Date

07/01/2010

Expiration Date

06/30/2012

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

Anesthesiology

Ever Disciplined

LastModifiedDate

05/03/2010