TERRY L ANDERSON DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019017693

License Status

NOT RENEWED

Business

First Name

TERRY

Middle

Last Name

ANDERSON

Suffix

DDS

Business Name

TERRY L ANDERSON DDS

Original Issue Date

07/14/1981

Effective Date

06/20/2012

Expiration Date

09/30/2015

City

BAYFIELD

State

Zip

54814

County

WISCONSIN

Ever Disciplined

LastModifiedDate

02/08/2016