TODD M ANDERSON DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****83

License Status

ACTIVE

Business

First Name

TODD

Middle

Last Name

ANDERSON

Suffix

DDS

Business Name

TODD M ANDERSON DDS

Original Issue Date

06/04/1991

Effective Date

05/02/2024

Expiration Date

09/30/2027

City

SYCAMORE

State

Zip

60178

County

DEKALB

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/02/2024