CAROL K ANDERSON Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

LIMITED MEDICAL TEMPORARY PERMIT

License Number

130000219

License Status

EXPIRED

Business

First Name

CAROL

Middle

Last Name

ANDERSON

Business Name

CAROL K ANDERSON

Original Issue Date

07/01/1993

Effective Date

07/01/1993

Expiration Date

10/31/1993

City

ROCKFORD

State

Zip

61103

County

WINNEBAGO

Specialty/Qualifier

Obstetrics & Gynecology

Ever Disciplined

LastModifiedDate

09/25/2006