DENNIS W ANDERSON DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****60

License Status

NOT RENEWED

Business

First Name

DENNIS W

Last Name

ANDERSON

Suffix

DDS

Business Name

DENNIS W ANDERSON DDS

Original Issue Date

08/22/1990

Effective Date

08/22/1990

Expiration Date

09/30/1992

City

GREAT LAKES

State

Zip

60088

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005