STEVE K ANDERSON Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018000742

License Status

NOT RENEWED

Business

First Name

STEVE

Middle

Last Name

ANDERSON

Business Name

STEVE K ANDERSON

Original Issue Date

10/04/1993

Effective Date

10/04/1993

Expiration Date

06/30/1998

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Advanced General Dentistry

Ever Disciplined

LastModifiedDate

10/12/2005