GARY DEAN ANDERSON DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019012215

License Status

NOT RENEWED

Business

First Name

GARY DEAN

Last Name

ANDERSON

Suffix

DDS

Business Name

GARY DEAN ANDERSON DDS

Original Issue Date

08/17/1963

Effective Date

10/01/2006

Expiration Date

09/30/2009

City

ROCKFORD

State

Zip

61108

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

01/08/2010