BENITA ANDERSON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****95

License Status

NOT RENEWED

Business

First Name

BENITA

Last Name

ANDERSON

Suffix

Business Name

BENITA ANDERSON MD

Original Issue Date

07/16/1990

Effective Date

07/16/1990

Expiration Date

07/31/1996

City

NORTHFIELD

State

Zip

60093

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020