NILS ANDERSON MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****58

License Status

ACTIVE

Business

First Name

NILS

Last Name

ANDERSON

Suffix

Business Name

NILS ANDERSON MD

Original Issue Date

03/14/2003

Effective Date

04/21/2023

Expiration Date

07/31/2026

City

WONDER LAKE

State

Zip

60097

County

MCHENRY

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/21/2023