LEISHA M ANDERSEN MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

LIMITED MEDICAL TEMPORARY PERMIT

License Number

130000429

License Status

EXPIRED

Business

First Name

LEISHA

Middle

Last Name

ANDERSEN

Suffix

Business Name

LEISHA M ANDERSEN MD

Original Issue Date

11/06/1998

Effective Date

11/06/1998

Expiration Date

09/06/2001

City

ALTON

State

Zip

62002

County

MADISON

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

09/25/2006