COLE W ANDERSON Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018001699

License Status

INACTIVE

Business

First Name

COLE

Middle

Last Name

ANDERSON

Business Name

COLE W ANDERSON

Original Issue Date

07/08/2008

Effective Date

07/01/2008

Expiration Date

06/30/2012

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Specialty/Qualifier

Oral and Maxillofacial Surgery

Ever Disciplined

LastModifiedDate

07/08/2008