DAVID GEORGE ANDERSON DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****53

License Status

NOT RENEWED

Business

First Name

DAVID GEORGE

Last Name

ANDERSON

Suffix

DDS

Business Name

DAVID GEORGE ANDERSON DDS

Original Issue Date

07/28/1986

Effective Date

07/28/1986

Expiration Date

09/30/2002

City

CHICAGO

State

Zip

60631

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/17/2005