STEVEN A ANDERSON DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****27

License Status

NOT RENEWED

Business

First Name

STEVEN A

Last Name

ANDERSON

Suffix

DMD

Business Name

STEVEN A ANDERSON DMD

Original Issue Date

03/23/1993

Effective Date

03/23/1993

Expiration Date

09/30/1996

City

CHICAGO

State

Zip

60612

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005