DANIEL BROOKS ANDERSON DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****02

License Status

NOT RENEWED

Business

Title

DDS

First Name

DANIEL

Middle

BROOKS

Last Name

ANDERSON

Business Name

DANIEL BROOKS ANDERSON DDS

Original Issue Date

10/01/1990

Effective Date

10/01/1990

Expiration Date

09/30/1992

City

OAKBROOK

State

Zip

60521

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005