MARTIN EMIL ANDERSON JR MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****82

License Status

ACTIVE

Business

Title

First Name

MARTIN

Middle

EMIL

Last Name

ANDERSON

Suffix

Business Name

MARTIN EMIL ANDERSON JR MD

Original Issue Date

06/22/2016

Effective Date

04/23/2023

Expiration Date

07/31/2026

City

NILES

State

Zip

60714

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/23/2023