GORDON S ANDERSON DDS Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019011873

License Status

INACTIVE

Business

First Name

GORDON S

Last Name

ANDERSON

Suffix

DDS

Business Name

GORDON S ANDERSON DDS

Original Issue Date

07/18/1961

Effective Date

07/18/1961

Expiration Date

09/30/1990

City

GRANTS PASS

State

Zip

97526

County

OREGON

Ever Disciplined

LastModifiedDate

10/12/2005