DAVID ALLEN ANDERSEN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****20

License Status

NOT RENEWED

Business

First Name

DAVID ALLEN

Last Name

ANDERSEN

Suffix

Business Name

DAVID ALLEN ANDERSEN MD

Original Issue Date

01/01/1997

Expiration Date

07/31/1990

City

ST LOUIS

State

Zip

63124

County

MISSOURI

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2011