BONNIE LOUISE ANDERSON MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036139237

License Status

INACTIVE

Business

Title

First Name

BONNIE

Middle

LOUISE

Last Name

ANDERSON

Business Name

BONNIE LOUISE ANDERSON MD

Original Issue Date

10/09/2015

Effective Date

08/03/2020

Expiration Date

07/31/2023

City

SENECA

State

Zip

29672

Ever Disciplined

LastModifiedDate

08/02/2023