JOHN C ANDERSON DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****55

License Status

NOT RENEWED

Business

First Name

JOHN

Middle

Last Name

ANDERSON

Suffix

DDS

Business Name

JOHN C ANDERSON DDS

Original Issue Date

01/15/1993

Effective Date

01/15/1993

Expiration Date

09/30/2006

City

GRAYSLAKE

State

Zip

60030

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/08/2006