WELLS AVERY ANDERSON DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****49

License Status

NOT RENEWED

Business

First Name

WELLS AVERY

Last Name

ANDERSON

Suffix

DDS

Business Name

WELLS AVERY ANDERSON DDS

Original Issue Date

01/01/1998

Expiration Date

09/30/2000

City

CHAMPAIGN

State

Zip

61820

County

CHAMPAIGN

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

10/17/2005