DOUGLAS EDWIN ANDERSON MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****06

License Status

ACTIVE

Business

First Name

DOUGLAS

Middle

EDWIN

Last Name

ANDERSON

Suffix

Business Name

DOUGLAS EDWIN ANDERSON MD

Original Issue Date

01/01/1997

Effective Date

07/07/2023

Expiration Date

07/31/2026

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/07/2023