ADRIANA LUCIA ANDERSON MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****68

License Status

CANCELLED

Business

First Name

ADRIANA

Middle

LUCIA

Last Name

ANDERSON

Suffix

Business Name

ADRIANA LUCIA ANDERSON MD

Original Issue Date

02/04/1998

Effective Date

02/04/1998

Expiration Date

07/31/2005

City

CHICAGO

State

Zip

60612

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006