CATIE MARIE ANDERSON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****49

License Status

NOT RENEWED

Business

Title

First Name

CATIE

Middle

MARIE

Last Name

ANDERSON

Business Name

CATIE MARIE ANDERSON MD

Original Issue Date

11/26/2022

Effective Date

11/26/2022

Expiration Date

07/31/2023

City

PEORIA

State

Zip

61605

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/30/2023