ANDREW J ANDERSON DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

LIMITED MEDICAL TEMPORARY PERMIT

License Number

130001064

License Status

EXPIRED

Business

Title

First Name

ANDREW

Middle

Last Name

ANDERSON

Business Name

ANDREW J ANDERSON DO

Original Issue Date

06/30/2015

Effective Date

06/30/2015

Expiration Date

12/29/2015

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Anesthesiology

Ever Disciplined

LastModifiedDate

06/10/2016