TIMOTHY MINTON ANDERSON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****52

License Status

NOT RENEWED

Business

First Name

TIMOTHY

Middle

MINTON

Last Name

ANDERSON

Suffix

Business Name

TIMOTHY MINTON ANDERSON MD

Original Issue Date

07/05/2001

Effective Date

07/05/2001

Expiration Date

07/31/2008

City

DEERFIELD

State

Zip

60015

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/06/2008