ARTHUR SCOTT VANDERWAAL DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019029050

License Status

NOT RENEWED

Business

Title

DDS

First Name

ARTHUR

Middle

SCOTT

Last Name

VANDERWAAL

Business Name

ARTHUR SCOTT VANDERWAAL DDS

Original Issue Date

06/11/2012

Effective Date

06/12/2018

Expiration Date

01/31/2022

City

CHICAGO

State

Zip

60639

County

COOK

Ever Disciplined

LastModifiedDate

05/09/2022