JOHN ERICK ANDERSON DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125065537

License Status

EXPIRED

Business

Title

First Name

JOHN

Middle

ERICK

Last Name

ANDERSON

Business Name

JOHN ERICK ANDERSON DO

Original Issue Date

07/01/2014

Effective Date

07/01/2014

Expiration Date

06/30/2015

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/04/2015