ELIZABETH JANE ANDERSON MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125080503

License Status

EXPIRED

Business

Title

First Name

ELIZABETH

Middle

JANE

Last Name

ANDERSON

Business Name

ELIZABETH JANE ANDERSON MD

Original Issue Date

06/26/2022

Effective Date

06/26/2022

Expiration Date

06/25/2023

City

SPRINGFIELD

State

Zip

62701

County

SANGAMON

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

03/06/2024