DANIEL BROOKS ANDERSON DDS - Dentist License in Wisconsin | # 31*****01

DANIEL BROOKS ANDERSON DDS

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****01

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

01/01/1998

Expiration Date

09/30/2006

State

WI

Controlled Substance Schedule

II III IV V

Ever Disciplined

N

LastModifiedDate

11/08/2006