JOHN C ANDERSON DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED SPECIALIST IN DENTISTRY

License Number

021000871

License Status

NOT RENEWED

Business

First Name

JOHN

Middle

Last Name

ANDERSON

Suffix

DDS

Business Name

JOHN C ANDERSON DDS

Original Issue Date

01/16/1976

Effective Date

09/14/2009

Expiration Date

09/30/2012

City

GURNEE

State

Zip

60031

County

LAKE

Specialty/Qualifier

Periodontics

Ever Disciplined

LastModifiedDate

11/14/2012