MICHAEL P ANDERSON DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****61

License Status

ACTIVE

Business

Title

First Name

MICHAEL

Middle

Last Name

ANDERSON

Business Name

MICHAEL P ANDERSON DO

Original Issue Date

09/29/2025

Effective Date

09/29/2025

Expiration Date

07/31/2026

City

MATTOON

State

Zip

61938

County

COLES

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/29/2025