DALE R ANDERSON Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020009895

License Status

NOT RENEWED

Business

First Name

DALE

Middle

Last Name

ANDERSON

Business Name

DALE R ANDERSON

Original Issue Date

08/17/2000

Effective Date

06/04/2009

Expiration Date

09/30/2012

City

PORTAL

State

Zip

58772

County

NORTH DAKOTA

Ever Disciplined

LastModifiedDate

11/14/2012