ALYCE JANE MARSH ANDERSON MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125075380

License Status

CANCELLED

Business

Title

First Name

ALYCE

Middle

JANE MARSH

Last Name

ANDERSON

Business Name

ALYCE JANE MARSH ANDERSON MD

Original Issue Date

07/01/2020

Effective Date

07/01/2020

Expiration Date

06/30/2023

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Dermatology

Ever Disciplined

LastModifiedDate

02/05/2020