JACK E ANDERSON - Dentist License in Indiana | # 019010813

JACK E ANDERSON

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019010813

License Status

INACTIVE

Business

N

First Name

JACK E

Last Name

ANDERSON

Business Name

JACK E ANDERSON

Original Issue Date

11/07/1955

Effective Date

11/07/1955

Expiration Date

09/30/1990

State

IN

Ever Disciplined

N

LastModifiedDate

10/12/2005