STEVE K ANDERSON - Dentist License in Illinois | # 018000742

STEVE K ANDERSON

Business Entity

NOT RENEWED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018000742

License Status

NOT RENEWED

Business

N

First Name

STEVE

Middle

K

Last Name

ANDERSON

Business Name

STEVE K ANDERSON

Original Issue Date

10/04/1993

Effective Date

10/04/1993

Expiration Date

06/30/1998

State

IL

Specialty/Qualifier

Advanced General Dentistry

Ever Disciplined

N

LastModifiedDate

10/12/2005