ROBERT WESLEY ANDERSON III MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****34

License Status

NOT RENEWED

Business

First Name

ROBERT

Middle

WESLEY

Last Name

ANDERSON

Suffix

III MD

Business Name

ROBERT WESLEY ANDERSON III MD

Original Issue Date

10/28/2005

Effective Date

04/25/2011

Expiration Date

07/31/2014

City

PARK RIDGE

State

Zip

60068

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2014