JEREMIAH SCOTT ANDERS MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****04

License Status

ACTIVE

Business

Title

First Name

JEREMIAH

Middle

SCOTT

Last Name

ANDERS

Business Name

JEREMIAH SCOTT ANDERS MD

Original Issue Date

10/18/2004

Effective Date

04/11/2023

Expiration Date

07/31/2026

City

MORTON

State

Zip

61550

County

TAZEWELL

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/11/2023