RAYMOND FREDERIC ANDERSON Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****35

License Status

NOT RENEWED

Business

First Name

RAYMOND FREDERIC

Last Name

ANDERSON

Business Name

RAYMOND FREDERIC ANDERSON

Original Issue Date

01/01/1998

Expiration Date

01/01/1998

City

CRESTWOOD

State

Zip

60445

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005