DANIEL BROOKS ANDERSON DDS - Dentist License in Wisconsin | # 021000647

DANIEL BROOKS ANDERSON DDS

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED SPECIALIST IN DENTISTRY

License Number

021000647

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

12/07/1970

Effective Date

12/07/1970

Expiration Date

09/30/2006

State

WI

Specialty/Qualifier

Endodontics

Ever Disciplined

N

LastModifiedDate

11/08/2006