BRUCE W ANDERSON DDS Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019014006

License Status

INACTIVE

Business

First Name

BRUCE W

Last Name

ANDERSON

Suffix

DDS

Business Name

BRUCE W ANDERSON DDS

Original Issue Date

01/01/1998

Effective Date

09/23/2015

Expiration Date

09/30/2018

City

BLOOMINGTON

State

Zip

61701

County

MCLEAN

Ever Disciplined

LastModifiedDate

06/07/2018