CHARLES D ANDERSON Podiatrist License verification

Business Entity

EXPIRED

License Type

Podiatrist

Description

TEMPORARY PODIATRIC PHYSICIAN

License Number

135000186

License Status

EXPIRED

Business

First Name

CHARLES

Middle

Last Name

ANDERSON

Business Name

CHARLES D ANDERSON

Original Issue Date

07/28/1993

Effective Date

07/28/1993

Expiration Date

01/01/1998

City

CHICAGO

State

Zip

60610

County

COOK

Ever Disciplined

LastModifiedDate

09/25/2006