ROBERT CARL ANDERSON DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019009497

License Status

NOT RENEWED

Business

First Name

ROBERT CARL

Last Name

ANDERSON

Suffix

DDS

Business Name

ROBERT CARL ANDERSON DDS

Original Issue Date

08/30/1948

Effective Date

08/30/1948

Expiration Date

09/30/1996

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/12/2005