DENIS DAVID ANDERSON DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****71

License Status

NOT RENEWED

Business

First Name

DENIS

Middle

DAVID

Last Name

ANDERSON

Suffix

DDS

Business Name

DENIS DAVID ANDERSON DDS

Original Issue Date

01/01/1998

Effective Date

07/26/2018

Expiration Date

01/31/2022

City

ROCHELLE

State

Zip

61068

County

OGLE

Controlled Substance Schedule

II III

Ever Disciplined

LastModifiedDate

05/09/2022