RURIC CLESBY ANDERSON III MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****57

License Status

NOT RENEWED

Business

First Name

RURIC

Middle

CLESBY

Last Name

ANDERSON

Suffix

III MD

Business Name

RURIC CLESBY ANDERSON III MD

Original Issue Date

01/12/2005

Effective Date

05/23/2008

Expiration Date

07/31/2011

City

EVANSTON

State

Zip

60201

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/10/2011