Kenneth Wagner Anderson III Md
SuspendedIllinois license 036059551
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 036059551
- Status
- Suspended
- First issued
- October 26, 1979
- Expired
- September 30, 2020
- License holder
- Kenneth Wagner Anderson III Md
- Entity type
- Individual
Classifications
- Licensed Physician and Surgeon (Medical Board) Physicians & Surgeons
More from the license record
- Current term began
- 09/14/2017
- Ever disciplined
- Yes
- Discipline case
- 2001000448
- Discipline action
- Fine
- Discipline reason
- Due to Pattern of Practice Resulting From Laparoscopic Surgeries.
- Discipline dates
- 07/05/2007
- Discipline action
- Suspension
- Discipline reason
- for violations of terms of his current Department's Probation.
- Discipline dates
- 04/16/2018
- Discipline reason
- for violation of his ongoing Department Probation.
- Discipline dates
- 12/01/2016 to 12/31/2016
- Discipline action
- Probation
- Discipline dates
- 01/01/2017 to 04/16/2018
- Discipline dates
- 07/05/2007 to 12/01/2016
- Discipline case
- 2016008380
- Discipline reason
- physician and surgeon license indefinitely suspended due to Medicare privileges being revoked in February 2017 after failing to provide CMS access to documentation.
- Discipline dates
- 12/14/2020
- Discipline case
- 1999005460
- Discipline action
- Reprimand
- Discipline reason
- Gross negligence in performing hernia surgery on the wrong side of a four-year-old patient.
- Discipline dates
- 07/23/2002
Other Illinois licenses under this name
-
IL
Kenneth Wagner Anderson III MdLicense 33*****34Licensed Physician Controlled Substance (Medical Board)ExpiredOrland Park, ILExpired Sep 30, 2020
Contact
Homer Glen, IL 60491
Will County