BRYAN GEOFFREY ANDERSON DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****53

License Status

ACTIVE

Business

Title

First Name

BRYAN

Middle

GEOFFREY

Last Name

ANDERSON

Business Name

BRYAN GEOFFREY ANDERSON DO

Original Issue Date

01/18/2024

Effective Date

01/18/2024

Expiration Date

07/31/2026

City

HERRIN

State

Zip

62948

County

WILLIAMSON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/18/2024