DANIEL K ANDERSON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****24

License Status

NOT RENEWED

Business

First Name

DANIEL

Middle

Last Name

ANDERSON

Suffix

Business Name

DANIEL K ANDERSON MD

Original Issue Date

09/05/1991

Effective Date

09/05/1991

Expiration Date

07/31/1993

City

SILVIS

State

Zip

61282

County

ROCK ISLAND

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2011