CHRISTOPHER WESLEY ANDERSON DDS Dentist License verification

Business Entity

EXPIRED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018001802

License Status

EXPIRED

Business

First Name

CHRISTOPHER

Middle

WESLEY

Last Name

ANDERSON

Suffix

DDS

Business Name

CHRISTOPHER WESLEY ANDERSON DDS

Original Issue Date

06/14/2011

Effective Date

07/01/2011

Expiration Date

06/30/2012

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

General Practice Residency

Ever Disciplined

LastModifiedDate

08/29/2012