DONALD B ANDERSON DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****18

License Status

NOT RENEWED

Business

First Name

DONALD B

Last Name

ANDERSON

Suffix

DDS

Business Name

DONALD B ANDERSON DDS

Original Issue Date

01/01/1998

Effective Date

08/14/2009

Expiration Date

09/30/2012

City

PARK RIDGE

State

Zip

60068

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/14/2012