ANGELA J ANDERSON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036078131

License Status

NOT RENEWED

Business

First Name

ANGELA J

Last Name

ANDERSON

Suffix

Business Name

ANGELA J ANDERSON MD

Original Issue Date

11/11/1988

Effective Date

11/11/1988

Expiration Date

07/31/2002

City

GARY

State

Zip

46407

County

INDIANA

Ever Disciplined

LastModifiedDate

10/09/2006