ALEXANDRA ANDERSON DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****59

License Status

NOT RENEWED

Business

First Name

ALEXANDRA

Last Name

ANDERSON

Suffix

DDS

Business Name

ALEXANDRA ANDERSON DDS

Original Issue Date

12/17/2003

Effective Date

07/24/2006

Expiration Date

09/30/2009

City

CHICAGO

State

Zip

60608

County

COOK

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

11/04/2009