ROBERT CARL ANDERSON DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****41

License Status

NOT RENEWED

Business

First Name

ROBERT CARL

Last Name

ANDERSON

Suffix

DDS

Business Name

ROBERT CARL ANDERSON DDS

Original Issue Date

01/01/1998

Expiration Date

09/30/1996

City

ROCKFORD

State

Zip

61107

County

BOONE

Controlled Substance Schedule

III

Ever Disciplined

LastModifiedDate

10/13/2005