DOUGLAS T ANDERSON DDS - Dentist License in Illinois | # 019018954

DOUGLAS T ANDERSON DDS

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019018954

License Status

NOT RENEWED

Business

N

First Name

DOUGLAS

Middle

T

Last Name

ANDERSON

Suffix

DDS

Business Name

DOUGLAS T ANDERSON DDS

Original Issue Date

02/02/1984

Effective Date

06/07/2018

Expiration Date

01/31/2022

State

IL

Ever Disciplined

N

LastModifiedDate

05/09/2022