PETER J ANDERSON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****13

License Status

NOT RENEWED

Business

First Name

PETER J

Last Name

ANDERSON

Suffix

Business Name

PETER J ANDERSON MD

Original Issue Date

07/31/1990

Effective Date

07/31/1990

Expiration Date

07/31/2005

City

HIGHLAND

State

Zip

62249

County

MADISON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020