JASON A ANDERSON DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019024716

License Status

NOT RENEWED

Business

First Name

JASON

Middle

Last Name

ANDERSON

Suffix

DDS

Business Name

JASON A ANDERSON DDS

Original Issue Date

06/01/1998

Effective Date

06/01/1998

Expiration Date

09/30/2002

City

APO

State

Zip

96319

Ever Disciplined

LastModifiedDate

10/17/2005