EDWARD R ANDERSON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****96

License Status

NOT RENEWED

Business

First Name

EDWARD

Middle

Last Name

ANDERSON

Suffix

Business Name

EDWARD R ANDERSON MD

Original Issue Date

02/22/2006

Effective Date

02/22/2006

Expiration Date

07/31/2008

City

AURORA

State

Zip

60506

County

KANE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2011