ANGELA K ANDERSON Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****86

License Status

ACTIVE

Business

First Name

ANGELA K

Last Name

ANDERSON

Business Name

ANGELA K ANDERSON

Original Issue Date

12/03/1996

Effective Date

04/07/2023

Expiration Date

07/31/2026

City

CHAMPAIGN

State

Zip

61821

County

CHAMPAIGN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2023