SUSAN S ANDERSON MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****83

License Status

ACTIVE

Business

Title

First Name

SUSAN

Middle

Last Name

ANDERSON

Business Name

SUSAN S ANDERSON MD

Original Issue Date

09/10/1993

Effective Date

07/03/2023

Expiration Date

07/31/2026

City

EVANSTON

State

Zip

60201

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/03/2023