BRYNNE COLES ANDERSON - Dentist License in Illinois | # 018001601

BRYNNE COLES ANDERSON

Business Entity

EXPIRED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018001601

License Status

EXPIRED

Business

N

First Name

BRYNNE

Middle

COLES

Last Name

ANDERSON

Business Name

BRYNNE COLES ANDERSON

Original Issue Date

07/13/2006

Effective Date

07/13/2006

Expiration Date

06/30/2007

State

IL

Specialty/Qualifier

General Practice Residency

Ever Disciplined

N

LastModifiedDate

07/03/2007