DANIEL BROOKS ANDERSON DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019012870

License Status

NOT RENEWED

Business

Title

DDS

First Name

DANIEL

Middle

BROOKS

Last Name

ANDERSON

Business Name

DANIEL BROOKS ANDERSON DDS

Original Issue Date

07/29/1966

Effective Date

09/30/2004

Expiration Date

09/30/2006

City

ELLISON BAY

State

Zip

54210

County

WISCONSIN

Ever Disciplined

LastModifiedDate

11/08/2006