DANIEL K ANDERSON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****23

License Status

NOT RENEWED

Business

First Name

DANIEL

Middle

Last Name

ANDERSON

Suffix

Business Name

DANIEL K ANDERSON MD

Original Issue Date

10/18/1990

Effective Date

10/18/1990

Expiration Date

07/31/1999

City

SPRINGFIELD

State

Zip

62794

County

SANGAMON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2011