DAVID ALLEN ANDERSEN MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036054642

License Status

INACTIVE

Business

First Name

DAVID ALLEN

Last Name

ANDERSEN

Suffix

Business Name

DAVID ALLEN ANDERSEN MD

Original Issue Date

06/09/1977

Effective Date

07/07/2008

Expiration Date

07/31/2011

City

LADUE

State

Zip

63124

County

MISSOURI

Ever Disciplined

LastModifiedDate

04/07/2011