ALEXANDRA ANDERSON DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****96

License Status

ACTIVE

Business

First Name

ALEXANDRA

Last Name

ANDERSON

Suffix

DDS

Business Name

ALEXANDRA ANDERSON DDS

Original Issue Date

08/01/2007

Effective Date

09/09/2024

Expiration Date

09/30/2027

City

CHICAGO

State

Zip

60660

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

09/09/2024