JAY R ANDERS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****88

License Status

NOT RENEWED

Business

First Name

JAY R

Last Name

ANDERS

Suffix

Business Name

JAY R ANDERS MD

Original Issue Date

06/26/1986

Effective Date

06/26/1986

Expiration Date

07/31/2005

City

CHAMPAIGN

State

Zip

61822

County

CHAMPAIGN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006