MARK JOSEPH ANDERSON MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****20

License Status

ACTIVE

Business

Title

First Name

MARK

Middle

JOSEPH

Last Name

ANDERSON

Business Name

MARK JOSEPH ANDERSON MD

Original Issue Date

07/25/2022

Effective Date

07/04/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60608

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/04/2023