JOHN C ANDERSON DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****54

License Status

NOT RENEWED

Business

First Name

JOHN

Middle

Last Name

ANDERSON

Suffix

DDS

Business Name

JOHN C ANDERSON DDS

Original Issue Date

01/01/1998

Effective Date

09/14/2009

Expiration Date

09/30/2012

City

GURNEE

State

Zip

60031

County

LAKE

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

11/14/2012