BURTON ROBERT ANDERSEN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****09

License Status

NOT RENEWED

Business

First Name

BURTON ROBERT

Last Name

ANDERSEN

Suffix

Business Name

BURTON ROBERT ANDERSEN MD

Original Issue Date

11/12/1987

Effective Date

11/12/1987

Expiration Date

07/31/1990

City

CHICAGO

State

Zip

60612

County

COOK

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

04/05/2020