JASON A ANDERSON DDS - Dentist License in Ap | # 019024716

JASON A ANDERSON DDS

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019024716

License Status

NOT RENEWED

Business

N

First Name

JASON

Middle

A

Last Name

ANDERSON

Suffix

DDS

Business Name

JASON A ANDERSON DDS

Original Issue Date

06/01/1998

Effective Date

06/01/1998

Expiration Date

09/30/2002

State

AP

Ever Disciplined

N

LastModifiedDate

10/17/2005