JAMES RICHARD ANDERSEN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****31

License Status

ACTIVE

Business

Title

First Name

JAMES

Middle

RICHARD

Last Name

ANDERSEN

Business Name

JAMES RICHARD ANDERSEN MD

Original Issue Date

03/02/2015

Effective Date

04/06/2023

Expiration Date

07/31/2026

City

VERONA

State

Zip

53593

County

WISCONSIN

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/06/2023