RURIC CLESBY 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

RURIC

Middle

CLESBY

Last Name

ANDERSON

Suffix

III MD

Business Name

RURIC CLESBY ANDERSON III MD

Original Issue Date

06/11/1996

Effective Date

06/11/1996

Expiration Date

07/31/1999

City

CHICAGO

State

Zip

60637

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2011