CHRISTINA REBECCA ANDERSON MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125071192

License Status

EXPIRED

Business

Title

First Name

CHRISTINA

Middle

REBECCA

Last Name

ANDERSON

Business Name

CHRISTINA REBECCA ANDERSON MD

Original Issue Date

07/01/2020

Effective Date

07/01/2020

Expiration Date

05/05/2021

City

PEORIA

State

Zip

61605

County

PEORIA

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

07/20/2021