KYLE ANDERSON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****35

License Status

NOT RENEWED

Business

First Name

KYLE

Last Name

ANDERSON

Suffix

Business Name

KYLE ANDERSON MD

Original Issue Date

10/24/1997

Effective Date

10/24/1997

Expiration Date

07/31/1999

City

CHICAGO

State

Zip

60610

County

COOK

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

09/26/2006