JONATHAN ROBERT ANDERSON Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020015714

License Status

ACTIVE

Business

First Name

JONATHAN

Middle

ROBERT

Last Name

ANDERSON

Business Name

JONATHAN ROBERT ANDERSON

Original Issue Date

02/16/2017

Effective Date

08/26/2024

Expiration Date

09/30/2027

City

CARLINVILLE

State

Zip

62626

County

MACOUPIN

Ever Disciplined

LastModifiedDate

08/26/2024