SCOTT FOSTER ANDERSON Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****56

License Status

ACTIVE

Business

First Name

SCOTT FOSTER

Last Name

ANDERSON

Business Name

SCOTT FOSTER ANDERSON

Original Issue Date

10/02/1985

Effective Date

07/23/2024

Expiration Date

09/30/2027

City

CHAMPAIGN

State

Zip

61821

County

CHAMPAIGN

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

07/23/2024