RICHARD W ANDERSON JR MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****42

License Status

NOT RENEWED

Business

First Name

RICHARD W

Last Name

ANDERSON JR

Suffix

Business Name

RICHARD W ANDERSON JR MD

Original Issue Date

12/13/1982

Effective Date

12/13/1982

Expiration Date

07/31/1987

City

HAZELCREST

State

Zip

60429

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006