MICHAEL S ANDERSON Podiatrist License verification

Business Entity

ACTIVE

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****86

License Status

ACTIVE

Business

First Name

MICHAEL S

Last Name

ANDERSON

Business Name

MICHAEL S ANDERSON

Original Issue Date

10/23/1992

Effective Date

12/30/2024

Expiration Date

01/31/2027

City

CHICAGO

State

Zip

60612

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/16/2025