KEVIN M ANDERSON Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****97

License Status

ACTIVE

Business

First Name

KEVIN M

Last Name

ANDERSON

Business Name

KEVIN M ANDERSON

Original Issue Date

08/12/1987

Effective Date

10/01/2024

Expiration Date

09/30/2027

City

HUNTLEY

State

Zip

60142

County

MCHENRY

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/16/2024