PAUL DANIEL ANDERSON Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019020408

License Status

INACTIVE

Business

First Name

PAUL DANIEL

Last Name

ANDERSON

Business Name

PAUL DANIEL ANDERSON

Original Issue Date

10/21/1986

Effective Date

08/03/2009

Expiration Date

09/30/2012

City

MAHTOMEDI

State

Zip

55115

County

MINNESOTA

Ever Disciplined

LastModifiedDate

06/06/2012