MICHAEL STIBB ANDERSON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****54

License Status

NOT RENEWED

Business

First Name

MICHAEL STIBB

Last Name

ANDERSON

Suffix

Business Name

MICHAEL STIBB ANDERSON MD

Original Issue Date

01/01/1997

Effective Date

07/28/2011

Expiration Date

07/31/2014

City

QUINCY

State

Zip

62301

County

ADAMS

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

11/17/2014