BRYNNE COLES ANDERSON Dentist License verification

Business Entity

EXPIRED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018001601

License Status

EXPIRED

Business

First Name

BRYNNE

Middle

COLES

Last Name

ANDERSON

Business Name

BRYNNE COLES ANDERSON

Original Issue Date

07/13/2006

Effective Date

07/13/2006

Expiration Date

06/30/2007

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

General Practice Residency

Ever Disciplined

LastModifiedDate

07/03/2007