COLE W ANDERSON Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019028186

License Status

NOT RENEWED

Business

First Name

COLE

Middle

Last Name

ANDERSON

Business Name

COLE W ANDERSON

Original Issue Date

01/08/2010

Effective Date

01/08/2010

Expiration Date

09/30/2012

City

CHAMPAIGN

State

Zip

61821

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

11/14/2012