JON EDWARD ANDERSEN DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****04

License Status

ACTIVE

Business

First Name

JON

Middle

EDWARD

Last Name

ANDERSEN

Suffix

Business Name

JON EDWARD ANDERSEN DO

Original Issue Date

07/11/2000

Effective Date

04/20/2023

Expiration Date

07/31/2026

City

JERSEYVILLE

State

Zip

62052

County

JERSEY

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/20/2023