ROBERT L ANDERSON DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****24

License Status

NOT RENEWED

Business

First Name

ROBERT

Middle

Last Name

ANDERSON

Suffix

DMD

Business Name

ROBERT L ANDERSON DMD

Original Issue Date

07/14/2010

Effective Date

07/14/2010

Expiration Date

09/30/2012

City

STRONGHURST

State

Zip

61480

County

HENDERSON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/14/2012