CRAIG D ANDERSON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****90

License Status

NOT RENEWED

Business

First Name

CRAIG D

Last Name

ANDERSON

Suffix

Business Name

CRAIG D ANDERSON MD

Original Issue Date

11/30/1992

Effective Date

11/30/1992

Expiration Date

07/31/1999

City

LOVES PARK

State

Zip

61111

County

WINNEBAGO

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006