DAVID CHARLES ANDERSON DDS Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019008440

License Status

INACTIVE

Business

First Name

DAVID CHARLES

Last Name

ANDERSON

Suffix

DDS

Business Name

DAVID CHARLES ANDERSON DDS

Original Issue Date

07/21/1943

Effective Date

07/21/1943

Expiration Date

09/30/1994

City

PEORIA

State

Zip

61604

County

PEORIA

Ever Disciplined

LastModifiedDate

10/12/2005