GRETCHEN NICOLE ANDERSON DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LIMITED MEDICAL TEMPORARY PERMIT

License Number

130001034

License Status

NOT RENEWED

Business

Title

First Name

GRETCHEN

Middle

NICOLE

Last Name

ANDERSON

Business Name

GRETCHEN NICOLE ANDERSON DO

Original Issue Date

02/01/2015

Effective Date

02/01/2015

Expiration Date

02/28/2015

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Gastroenterology

Ever Disciplined

LastModifiedDate

05/18/2015