STEPHEN C ANDERSON DDS Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019016693

License Status

INACTIVE

Business

First Name

STEPHEN C

Last Name

ANDERSON

Suffix

DDS

Business Name

STEPHEN C ANDERSON DDS

Original Issue Date

06/29/1979

Effective Date

06/17/2015

Expiration Date

09/30/2018

City

CHICAGO

State

Zip

60616

County

COOK

Ever Disciplined

LastModifiedDate

06/07/2018