DALE MARSHALL ANDERSON DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****17

License Status

NOT RENEWED

Business

First Name

DALE

Middle

MARSHALL

Last Name

ANDERSON

Suffix

DDS

Business Name

DALE MARSHALL ANDERSON DDS

Original Issue Date

01/01/1998

Effective Date

06/26/2015

Expiration Date

09/30/2018

City

SCHAUMBURG

State

Zip

60173

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/31/2018