CATIE MARIE ANDERSON MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125076206

License Status

CANCELLED

Business

Title

First Name

CATIE

Middle

MARIE

Last Name

ANDERSON

Business Name

CATIE MARIE ANDERSON MD

Original Issue Date

07/01/2020

Effective Date

07/01/2020

Expiration Date

06/30/2023

City

PEORIA

State

Zip

61605

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

04/10/2020