KENNETH R ANDERSON JR Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****88

License Status

ACTIVE

Business

First Name

KENNETH R

Last Name

ANDERSON JR

Business Name

KENNETH R ANDERSON JR

Original Issue Date

09/04/1985

Effective Date

08/26/2024

Expiration Date

09/30/2027

City

LAKE FOREST

State

Zip

60045

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/26/2024