BRIAN L ANDERSON MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****47

License Status

CANCELLED

Business

First Name

BRIAN L

Last Name

ANDERSON

Suffix

Business Name

BRIAN L ANDERSON MD

Original Issue Date

07/10/1995

Effective Date

07/10/1995

Expiration Date

07/31/2005

City

HINSDALE

State

Zip

60521

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006