CYNTHIA J ANASTAS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****40

License Status

NOT RENEWED

Business

First Name

CYNTHIA J

Last Name

ANASTAS

Suffix

Business Name

CYNTHIA J ANASTAS MD

Original Issue Date

08/11/1987

Effective Date

08/11/1987

Expiration Date

07/31/1999

City

ROCKFORD

State

Zip

61103

County

WINNEBAGO

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020