WELLS AVERY ANDERSON DDS Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019011863

License Status

INACTIVE

Business

First Name

WELLS AVERY

Last Name

ANDERSON

Suffix

DDS

Business Name

WELLS AVERY ANDERSON DDS

Original Issue Date

03/22/1961

Effective Date

09/09/2009

Expiration Date

09/30/2012

City

CHAMPAIGN

State

Zip

61822

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

06/06/2012