EARL THOMAS ANDERSON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036037154

License Status

NOT RENEWED

Business

First Name

EARL THOMAS

Last Name

ANDERSON

Suffix

Business Name

EARL THOMAS ANDERSON MD

Original Issue Date

04/18/1961

Effective Date

04/18/1961

City

PROVIDENCE

State

County

RHODE ISLAND

Ever Disciplined

LastModifiedDate

09/20/2006