BURTON F ANDERSON Dentist License verification

Business Entity

CANCELLED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****42

License Status

CANCELLED

Business

First Name

BURTON F

Last Name

ANDERSON

Business Name

BURTON F ANDERSON

Original Issue Date

01/01/1998

Expiration Date

09/30/2006

City

NORTHBROOK

State

Zip

60062

County

COOK

Controlled Substance Schedule

II III IV

Ever Disciplined

LastModifiedDate

07/24/2006