KATHY A ANDERSON 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

KATHY A

Last Name

ANDERSON

Business Name

KATHY A ANDERSON

Original Issue Date

03/12/1996

Effective Date

07/20/2020

Expiration Date

07/31/2023

City

BUFFALO GROVE

State

Zip

60089

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/30/2023