DENIS DAVID ANDERSON DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019014454

License Status

NOT RENEWED

Business

First Name

DENIS

Middle

DAVID

Last Name

ANDERSON

Suffix

DDS

Business Name

DENIS DAVID ANDERSON DDS

Original Issue Date

12/13/1972

Effective Date

07/26/2018

Expiration Date

01/31/2022

City

ROCHELLE

State

Zip

61068

County

OGLE

Ever Disciplined

LastModifiedDate

05/09/2022