EDGAR RATCLIFFE ANDERSON JR MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****78

License Status

NOT RENEWED

Business

First Name

EDGAR

Middle

RATCLIFFE

Last Name

ANDERSON

Suffix

JR MD

Business Name

EDGAR RATCLIFFE ANDERSON JR MD

Original Issue Date

07/19/2002

Effective Date

06/29/2011

Expiration Date

07/31/2014

City

CHICAGO

State

Zip

60611

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2014