BRIAN DAVID ANDERSON DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****72

License Status

ACTIVE

Business

First Name

BRIAN

Middle

DAVID

Last Name

ANDERSON

Suffix

Business Name

BRIAN DAVID ANDERSON DO

Original Issue Date

10/05/1998

Effective Date

08/02/2023

Expiration Date

07/31/2026

City

MOLINE

State

Zip

61265

County

ROCK ISLAND

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/02/2023