MARK WILLIAM ANDERSON DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

DENTAL SEDATION PERMIT

License Number

137000453

License Status

ACTIVE

Business

First Name

MARK

Middle

WILLIAM

Last Name

ANDERSON

Suffix

DDS

Business Name

MARK WILLIAM ANDERSON DDS

Original Issue Date

04/12/1999

Effective Date

09/25/2024

Expiration Date

09/30/2027

City

DANVILLE

State

Zip

61832

County

VERMILION

Ever Disciplined

LastModifiedDate

09/25/2024