ALLAN D ANDERSON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036077384

License Status

NOT RENEWED

Business

First Name

ALLAN

Middle

Last Name

ANDERSON

Suffix

Business Name

ALLAN D ANDERSON MD

Original Issue Date

07/20/1988

Effective Date

07/31/2006

Expiration Date

07/31/2008

City

LOGAN

State

Zip

84341

Ever Disciplined

LastModifiedDate

11/06/2008