DANIEL BROOKS ANDERSON DDS - Dentist License in Wisconsin | # 019012870

DANIEL BROOKS ANDERSON DDS

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019012870

License Status

NOT RENEWED

Business

N

Title

DDS

First Name

DANIEL

Middle

BROOKS

Last Name

ANDERSON

Business Name

DANIEL BROOKS ANDERSON DDS

Original Issue Date

07/29/1966

Effective Date

09/30/2004

Expiration Date

09/30/2006

State

WI

Ever Disciplined

N

LastModifiedDate

11/08/2006