STEPHEN CRAIG ANDERSON DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019015854

License Status

NOT RENEWED

Business

First Name

STEPHEN

Middle

CRAIG

Last Name

ANDERSON

Suffix

DDS

Business Name

STEPHEN CRAIG ANDERSON DDS

Original Issue Date

06/09/1977

Effective Date

09/24/2018

Expiration Date

01/31/2022

City

GRANITE CITY

State

Zip

62040

County

MADISON

Ever Disciplined

LastModifiedDate

05/09/2022

Case Number

2011006556

Action

Suspension

Discipline Start Date

01/05/2018

Discipline End Date

02/09/2018

Discipline Reason

Failure to file and/or pay Illinois state income taxes. Notice of tax deficiency release received from Department of Revenue on 02/13/2018.