DOUGLAS T ANDERSON DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019018954

License Status

NOT RENEWED

Business

First Name

DOUGLAS

Middle

Last Name

ANDERSON

Suffix

DDS

Business Name

DOUGLAS T ANDERSON DDS

Original Issue Date

02/02/1984

Effective Date

06/07/2018

Expiration Date

01/31/2022

City

NAPERVILLE

State

Zip

60540

County

DUPAGE

Ever Disciplined

LastModifiedDate

05/09/2022