RICHARD C ANDERSON MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****69

License Status

ACTIVE

Business

First Name

RICHARD C

Last Name

ANDERSON

Suffix

Business Name

RICHARD C ANDERSON MD

Original Issue Date

06/05/2000

Effective Date

04/18/2023

Expiration Date

07/31/2026

City

PEORIA

State

Zip

61606

County

PEORIA

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/18/2023