ROBERT W ANDERSON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****53

License Status

NOT RENEWED

Business

First Name

ROBERT W

Last Name

ANDERSON

Suffix

Business Name

ROBERT W ANDERSON MD

Original Issue Date

11/07/1984

Effective Date

11/07/1984

Expiration Date

07/31/1996

City

EVANSTON

State

Zip

60601

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006